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고위험군 환자에서 시행한 on-pump CABG와 off-pump CABG의 비교연구

DC Field Value Language
dc.contributor.author안지영-
dc.contributor.author오영준-
dc.contributor.author유경종-
dc.contributor.author윤영남-
dc.contributor.author이교준-
dc.date.accessioned2015-07-14T16:54:09Z-
dc.date.available2015-07-14T16:54:09Z-
dc.date.issued2004-
dc.identifier.issn0301-2859-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/111814-
dc.description.abstractOff-pump coronary artery bypass grafting (Off-Pump CABG) has been proven to have less morbidity and to facilitate early recovery. High-risk surgical patients may have benefitted by avoiding the adverse effects of the cardiopulmonary bypass. We compared the effectiveness of Off-Pump CABG with that of coronary artery bypass using cardiopulmonary bypass (On-Pump CABG) in high-risk patients. Material and Method: 682 patients (424 Off-Pump CABG and 258 On-Pump CABG) underwent isolated coronary artery bypass grafting between January 2001 and June 2003. Patients who were considered high risk were selected High risk is defined as the presence of one or more of nine adverse prognostic factors. Data were collected from 492 patients in Off-Pump CABG and 100 in On-Pump CABG for risk factors, extent of coronary disease, and in-hospital outcomes. Result: Off-Pump CABG group and On-Pump CABG group did not show differences in their preoperative risk factors. We used more arterial grafts in Off-Pump CABG group (p < 0.05). Postoperative results showed that operative mortality (0.5% in Off-Pump CABG versus 2.0% in On-Pump CABG), renal failure (2.6% in Off-Pump CABG versus 7.0% in On-Pump CABG), and perioperative myocardial infarction (1.5% in Off-Pump CABG versus 1.0% in On-Pump CABG) did not differ significantly. However, Off-Pump CABG had shorter mean operation time (p<0.05), lower mean CK-MB level (p <0.05), lower rate of usage of inotropics (p < 0.05), shorter mean ventilation time (p <0.05), lower perioperative stroke (0% versus 2.0%), and shorter length of stay (p < 0.05) than On-Pump CABG. On-Pump CABG had more distal grafts (p<0.05) than Off-Pump CABG. Although Off-Pump CABG and On-Pump CABG did not show statistical differences in mortality and morbidity was more frequent in CABG. Conclusion: Off-Pump CABG reduces morbidity and favors hospital outcomes. Therefore, Off-Pump CABG is safe, reasonable and may be a preferable operative strategy for high-risk patients.-
dc.description.statementOfResponsibilityopen-
dc.format.extent749~754-
dc.relation.isPartOfKorean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.title고위험군 환자에서 시행한 on-pump CABG와 off-pump CABG의 비교연구-
dc.title.alternativeThe Comparison of Clinical Outcomes of Off-Pump versus On-Pump Coronary Artery Bypass Grafting in High Risk Patients-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic & Cardiovascular Surgery (흉부외과학)-
dc.contributor.googleauthor윤영남-
dc.contributor.googleauthor유경종-
dc.contributor.googleauthor오영준-
dc.contributor.googleauthor안지영-
dc.contributor.googleauthor김치영-
dc.contributor.googleauthor이교준-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.relation.journalcodeJ02127-
dc.subject.keywordCoronary artery bypass surgery-
dc.subject.keywordRisk analysis-
dc.contributor.alternativeNameAn, Ji Yeong-
dc.contributor.alternativeNameOh, Young Jun-
dc.contributor.alternativeNameYoo, Kyung Jong-
dc.contributor.alternativeNameYoun, Young Nam-
dc.contributor.alternativeNameLee, Kyo Joon-
dc.rights.accessRightsfree-
dc.citation.volume37-
dc.citation.number9-
dc.citation.startPage749-
dc.citation.endPage754-
dc.identifier.bibliographicCitationKorean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지), Vol.37(9) : 749-754, 2004-
dc.identifier.rimsid47302-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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