Kundu Anirban, Yadava Om Prakash, Taggart David
National Heart Institute, 49 Community Centre, New Delhi, Delhi 110065 India.
University of Oxford, Oxford, UK.
Indian J Thorac Cardiovasc Surg. 2018 Dec;34(Suppl 3):266-271. doi: 10.1007/s12055-018-0668-5. Epub 2018 Apr 2.
As per the findings of the SYNTAX Trial, it has been established that coronary artery bypass grafting (CABG) affords the best long-term results in patients with multivessel disease. However, it is still a point of contention whether 'off-pump' CABG (OPCAB) (on cardiopulmonary bypass) is better. Many studies appear to establish the superiority of one or the other. But there is still no well-planned multi-centre randomised controlled trial looking into all aspects of the issue that can, once and for all, put the controversy to rest. But as long as one is able to give the patient a good result, does it really matter whether the procedure is done off or on pump? This article looks at the available evidence with regard to various parameters comparing OPCAB and conventional CABG in an attempt to answer the question, if at all, it is a question!
根据SYNTAX试验的结果，已证实冠状动脉旁路移植术（CABG）在多支血管病变患者中能带来最佳的长期效果。然而，“非体外循环”冠状动脉旁路移植术（OPCAB）（在体外循环下）是否更优仍是一个有争议的问题。许多研究似乎证实了其中一种方法的优越性。但仍没有一项精心设计的多中心随机对照试验来全面研究这个问题的各个方面，从而一劳永逸地解决这一争议。但只要能给患者带来良好的结果，手术是在体外循环下还是非体外循环下进行真的重要吗？本文审视了关于比较OPCAB和传统CABG各项参数的现有证据，试图回答这个问题，如果这真的是个问题的话！
