Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

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ORIGINAL ARTICLE

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Volume 25

January - March 2009

Number  1


 

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Comparison of post-operative neurological
complications between on-pump and off-pump
coronary artery bypass surgery

Mohammad Hassan Naseri1, Bahram Pishgou2, Javad Ameli3,
Esmaeil Babaei4, Hamid Reza Taghipour5

ABSTRACT

Objective: To assess neurological impairment after the off-pump and on-pump techniques in patients with first-time isolated coronary artery bypass graft surgery.

Methodology: One hundred twenty patients undergoing first-time isolated coronary artery bypass graft surgery prospectively at Baqiatallah University Hospital, Tehran, Iran were randomised to the off-pump or on-pump technique.

Change in NIHSS score was measured at 30 days postoperatively.

Results: The on-pump group showed a significantly greater deterioration in scores than the off-pump group. The incidence of TIA at 30 days postoperatively was 15.3% (9 out of 60) in the on-pump group and 5% (3 out of 60) in the off-pump group. (P=0.05). The incidence of Stroke at 30 days postoperatively was 3.4% (2 out of 60) in the off-pump group, while no one from off-pump group suffered from stroke. (P=0.05)

Conclusion: Off-pump coronary artery bypass graft surgery results in less neurological impairment than the on-pump technique.

KEYWORDS: Cardiac surgery, Off-pump, On-pump, Neurological complications.

Pak J Med Sci    January - March 2009    Vol. 25 No. 1    137-141

How to cite this article:

Naseri MH, Pishgou B, Ameli J, Babaei E, Taghipour HR. Comparison of post-operative neurological complications between on-pump and off-pump coronary artery bypass surgery. Pak J Med Sci 2009;25(1):137-141.


1. Mohammad Hassan Naseri MD,
Associate Professor of Cardiovascular Surgery,
2. Bahram Pishgou MD,
Assistant Professor of Cardiology,
3. Javad Ameli, MD,
Associate Professor of Neurology,
4. Esmaeil Babaei,
Medical Student,
5. Hamid Reza Taghipour, MD,
Cardiothoracic Surgeon,
1-5: Baghiyatallah Medical Scineces University,
PO: 19945/581, Tehran, Iran.

Correspondence

Mohammad Hassan Naseri,
Email: m.h.naseri@gmail.com

* Received for Publication: September 19, 2008
* Revision Received: September 24, 2008
* Revision Accepted: November 5, 2008



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