@article{JTD27024,
author = {Pengxiong Zhu and Anqing Chen and Zhe Wang and Xiaofeng Ye and Mi Zhou and Jun Liu and Qiang Zhao},
title = {Long-term outcomes of multiple and single arterial off-pump coronary artery bypass grafting},
journal = {Journal of Thoracic Disease},
volume = {11},
number = {3},
year = {2019},
keywords = {},
abstract = {Background: To compare the clinical outcomes between multiple arterial (MA) and single arterial (SA) off-pump coronary artery bypass grafting (OPCAB) when applied to left main coronary disease or three-vessel disease.
Methods: A total of 537 patients with left main coronary disease or three-vessel disease underwent MA OPCAB (n=114) or SA OPCAB (n=423) in our center from January 2006 to December 2008. The propensity score matching (PSM) was used to obtain the risk-adjusted outcome. Both the perioperative and long-term results were analyzed.
Results: The median follow-up time was 117 months (interquartile range, 110 to 128 months). There was no statistical difference in postoperative mortality and the volume of drainage. The intensive care unit (ICU) length of stay (LOS) of the MA group was shorter than that of the SA group \{1 [1–2] vs. 2 [1–3], P=0.001). In the long term, the mortality (5.7% vs. 17.5%, P=0.006), cardiac mortality (1.0% vs. 8.8%, P=0.008), fatal myocardial infarction (MI) rate (0.0% vs. 6.1%, P=0.015) and incidence of readmission for heart failure (19.8% vs. 37.7%, P=0.003) were lower in the MA group than in the SA group. The distributions of NYHA class (P},
issn = {2077-6624}, url = {https://jtd.amegroups.org/article/view/27024}
}