TABLE 1.
Patient demographics, preoperative risk factors, and operative features for all patients undergoing primary, isolated coronary artery bypass grafting operations
| Variable | CABG (n = 1589) | OPCAB (n = 404) | P value |
|---|---|---|---|
| Preoperative | |||
| Age at operation (y) | 82.5 ± 2.4 | 83.0 ± 2.4 | <.001 |
| Female gender | 38.6% | 42.1% | .11 |
| Peripheral vascular disease | 18.9% | 19.6% | .40 |
| Stroke | 8.3% | 11.6% | .03 |
| Diabetes | 30.5% | 27.2% | .11 |
| Dyslipidemia | 73.4% | 60.9% | <.001 |
| Hypertension | 83.9% | 81.2% | .11 |
| NYHA class | |||
| Class I | 13.2% | 6.2% | <.001 |
| Class II | 22.3% | 22.0% | |
| Class III | 43.5% | 42.1% | |
| Class IV | 21.1% | 29.7% | |
| Heart failure | 13.5% | 18.9% | .20 |
| Atrial fibrillation | 10.0% | 14.6% | .01 |
| Endocarditis | 0.0% | 0.0% | N/A |
| Renal failure | 5.8% | 7.4% | .14 |
| Renal failure (hemodialysis) | 1.0% | 1.5% | .28 |
| No. of major arteries with stenosis>50% | |||
| 1 | 2.1% | 16.2% | <.001 |
| 2 | 13.9% | 30.2% | |
| 3 | 84.0% | 53.6% | |
| Left main stenosis>50% | 38.6% | 36.9% | .53 |
| STS PROM (%) | 5.7 ± 7.1 | 6.3 ± 6.9% | .15 |
| Operative | |||
| Elective | 38.3% | 40.3% | .87 |
| Urgent | 57.3% | 54.7% | |
| Emergency | 4.3% | 5.0% | |
| Crossclamp time (min) | 63.9 ± 23.8 | — | — |
| Bypass time (min) | 92.2 ± 34.0 | — | — |
| Total no. of bypass grafts | 3.4 ± 0.02 | 2.2 ± 0.07 | <.001 |
| Overall ITA use | 82.3% | 91.9% | <.001 |
| LITA | 81.4% | 89.4% | |
| RITA | 0.3% | 0.0% | |
| Bilateral ITA | 0.4% | 2.1% | |
| Distal arterial anastomosis (no.) | |||
| 1 | 75.7% | 84.6% | .01 |
| 2 | 4.6% | 6.0% | |
| 3 | 1.2% | 0.9% | |
| >4 | 0.6% | 0.4% | |
| Distal vein anastomosis (no.) | |||
| 0 | 3.2% | 31.1% | <.001 |
| 1 | 10.6% | 28.2% | |
| 2 | 39.5% | 29.1% | |
| 3 | 33.9% | 10.7% | |
| >4 | 12.8% | 0.9% | |
| Radial artery anastomosis (no.) | |||
| 1 | 4.1% | 4.0% | .14 |
| 2 | 4.1% | 0.0% | |
| 3 | 1.2% | 0.0% | |
| PRBC transfusion (units) | 2.0 ± 1.7 | 1.6 ± 1.0 | .05 |
CABG, Conventional coronary artery bypass grafting; OPCAB, off-pump coronary artery bypass grafting; NYHA, New York Heart Association; STS, Society of Thoracic Surgery; PROM, predicted risk of mortality ITA, internal thoracic artery; LITA, left internal thoracic artery; RITA, right internal thoracic artery; PRBC, packed red blood cell; N/A, not applicable.