Merits of performing coronary artery by-pass grafts on the beating heart.

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dc.contributor.authorMani, G Ken_US
dc.contributor.authorMani, Men_US
dc.contributor.authorSharma, P Ken_US
dc.contributor.authorGara, Aen_US
dc.contributor.authorAggarwal, Men_US
dc.contributor.authorDas, A Ken_US
dc.contributor.authorWanchoo, Jen_US
dc.date.accessioned2001-09-23en_US
dc.date.accessioned2009-05-31T08:55:56Z
dc.date.available2001-09-23en_US
dc.date.available2009-05-31T08:55:56Z
dc.date.issued2001-09-23en_US
dc.description.abstractA retrospective study of 1006 patients was undertaken to evaluate the benefit of a change of strategy in performing coronary artery by-pass grafting surgery. Group A consisted of 500 patients who were consecutively operated on cardiopulmonary by-pass and group B consisted of 506 patients who were consecutively operated on using "off pump" techniques. Pre-operative risk profile in both groups were similar as was as in the operating time. There was distinct benefit in amount of homologous transfusion, period of ICU stay, increased usage of radial artery conduit and improvement in transoesophageal echocardiography assessment of ischaemic mitral incompetence immediately after revascularisation in off pump (group B). Though there was a lower mortality in group B ie, 3/506 vis-a-vis 10/500 in group A this is not of statistical significance. Improvement in left ventricular ejection fraction >5.0% occurred more frequently in one month follow-up visits of group B patients. Period of return to active life was also shorter (28 versus 56 days). Based on observations, we conclude that there is a distinct benefit in avoiding cardiopulmonary by-pass while performing coronary artery by-pass grafting.en_US
dc.description.affiliationIndraprastha Apollo Hospitals, New Delhi.en_US
dc.identifier.citationMani GK, Mani M, Sharma PK, Gara A, Aggarwal M, Das AK, Wanchoo J. Merits of performing coronary artery by-pass grafts on the beating heart. Journal of the Indian Medical Association. 2001 Sep; 99(9): 483-4, 486-8en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/98148
dc.language.isoengen_US
dc.source.urihttps://www.jimaonline.org.in/en_US
dc.subject.meshCoronary Artery Bypass --adverse effectsen_US
dc.subject.meshCoronary Disease --epidemiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHeart --physiopathologyen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMorbidityen_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshRetrospective Studiesen_US
dc.titleMerits of performing coronary artery by-pass grafts on the beating heart.en_US
dc.typeEvaluation Studiesen_US
dc.typeJournal Articleen_US
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