Early Outcomes of Low Postoperative Bleeding after Off-Pump Coronary Artery Bypass Grafting
- Resource Type
- article
- Authors
- Weitie Wang; Yong Wang; Hulin Piao; Bo Li; Tiance Wang; Dan Li; Zhicheng Zhu; Rihao Xu; Kexiang Liu
- Source
- Brazilian Journal of Cardiovascular Surgery, Vol 34, Iss 4, Pp 412-419
- Subject
- Off-Pump Coronary Artery Bypass
Respiration, Artificial
Coronary Artery Disease
Reoperation
Hemodynamics
Surgery
RD1-811
Diseases of the circulatory (Cardiovascular) system
RC666-701
- Language
- English
- ISSN
- 1678-9741
Abstract Objective: To investigate whether low bleeding influences the early outcomes after off-pump coronary artery bypass grafting (CABG). Methods: Retrospective analysis of ischemic heart disease patients who underwent off-pump CABG from January 2013 to December 2017. Patients were divided into low-bleeding group (n=659) and bleeding group (n=270), according to total drainage from chest tube during the first postoperative 12 hours. Clinical material and early outcomes were compared between the groups. Results: Baseline was similar in the two groups. Operation time was 270±51 min in the low-bleeding group and 235±46 min in the bleeding group (P0.05). Conclusion: Postoperative bleeding < 300 ml/12 h in off-pump CABG patients did not require blood product transfusion and reoperation and that would contribute to reduction in mechanical ventilation time and maintaining hemodynamic stability. Bleeding < 800 ml during the first postoperative 12 h did not increase infection rates and ICU length of stay.