A comparison of bleeding and transfusion in patients who undergo

J. Cardiothorac. Vasc. Anesth. · Aug 2003

Comparative Study

A comparison of bleeding and transfusion in patients who undergo coronary artery bypass grafting via sternotomy with and without cardiopulmonary bypass.

To determine whether there is a difference between on-pump cardiopulmonary bypass (CABG) and off-pump coronary artery bypass grafting (OPCAB) without heparin reversal with regard to bleeding, transfusion requirements, and incidence of surgical re-exploration of the mediastinum. ⋯ Despite not reversing the heparin at the end of the OPCAB surgery, OPCAB surgery was associated with an overall reduction in allogeneic transfusion requirements.

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- Gregory A Nuttall, Daniel T Erchul, Tamara J Haight, Stephen N Ringhofer, Treva L Miller, William C Oliver, Kenton J Zehr, and Darrell R Schroeder.
- Department of Anesthesiology and Cardiac Surgery, Mayo School of Health Sciences, Mayo Clinic, Rochester, MN 55905, USA. nuttall.gregory@mayo.edu
- J. Cardiothorac. Vasc. Anesth. 2003 Aug 1;17(4):447-51.
ObjectiveTo determine whether there is a difference between on-pump cardiopulmonary bypass (CABG) and off-pump coronary artery bypass grafting (OPCAB) without heparin reversal with regard to bleeding, transfusion requirements, and incidence of surgical re-exploration of the mediastinum.DesignRetrospective chart review.SettingA large academic medical center.ParticipantsTwo hundred adult patients undergoing cardiac surgery.InterventionsNone.Measurements And Main ResultsOne hundred CABG patients were compared with 100 OPCAB patients. Statistical significance was measured with P values of ConclusionDespite not reversing the heparin at the end of the OPCAB surgery, OPCAB surgery was associated with an overall reduction in allogeneic transfusion requirements.

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A comparison of bleeding and transfusion in patients who undergo coronary artery bypass grafting via sternotomy with and without cardiopulmonary bypass.

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