15-year outcomes of the JOCRI study (JOCRIED study): a randomised comparison of off-pump and on-pump multiple arterial coronary revascularisation.
Coronary artery bypass grafting
JOCRI
JOCRIED
Multiple arterial conduits
Off-pump
Journal
General thoracic and cardiovascular surgery
ISSN: 1863-6713
Titre abrégé: Gen Thorac Cardiovasc Surg
Pays: Japan
ID NLM: 101303952
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
received:
02
04
2022
accepted:
18
07
2022
pubmed:
12
8
2022
medline:
25
2
2023
entrez:
11
8
2022
Statut:
ppublish
Résumé
The Japanese Off-Pump Coronary Revascularization Investigation (JOCRI) study reported a non-significant difference in early outcomes and graft patency between off-pump coronary artery bypass grafting and on-pump coronary artery bypass grafting in 2005. The JOCRIED study aimed to review the long-term outcomes of the JOCRI study participants. The JOCRIED study enrolled 123 of the JOCRI study participants completing the clinical follow-up between August 2018 and August 2020; 61 patients in the off-pump group and 62 patients in the on-pump group. The follow-up period was 13.8 ± 2.8 years. The groups were compared regarding mortality, the incidence of major adverse cardiac and cerebrovascular events and repeat revascularisation. The 15-year cumulative survival rate (off-pump vs on-pump, respectively; 77.7% vs 75.3%; p = 0.85), major adverse events-free survival rate (62.5% vs 55.6%; p = 0.27) and repeat revascularisation-free rate (84.8% vs 78.0%; p = 0.16) were not significantly different between the two groups. Revascularisation was the most common major adverse events in the JOCRIED participants. Although percutaneous coronary intervention was performed in 8 patients (13%) in the off-pump group and in 14 patients (23%) in the on-pump group (p = 0.23), no patients underwent redo coronary artery bypass grafting. Off-pump coronary artery bypass grafting provides comparable 15-year outcomes to on-pump coronary artery bypass grafting.
Identifiants
pubmed: 35953640
doi: 10.1007/s11748-022-01854-y
pii: 10.1007/s11748-022-01854-y
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
151-157Informations de copyright
© 2022. The Author(s), under exclusive licence to The Japanese Association for Thoracic Surgery.
Références
Lamy A, Devereaux PJ, Prabhakaran D, Taggart DP, Hu S, Paolasso E, et al. Effects of off-pump and on-pump coronary-artery bypass grafting at 1 year. N Engl J Med. 2013;368:1179–88.
doi: 10.1056/NEJMoa1301228
pubmed: 23477676
Lamy A, Devereaux PJ, Prabhakaran D, Taggart DP, Hu S, Straka Z, et al. Five-year outcomes after off-pump or on-pump coronary-artery bypass grafting. N Engl J Med. 2016;375:2359–68.
doi: 10.1056/NEJMoa1601564
pubmed: 27771985
Shroyer AL, Hattler B, Wagner TH, Collins JF, Baltz JH, Quin JA, et al. Five-year outcomes after on-pump and off-pump coronary-artery bypass. N Engl J Med. 2017;377:623–32.
doi: 10.1056/NEJMoa1614341
pubmed: 28813218
Kobayashi J, Tashiro T, Ochi M, Yaku H, Watanabe G, Satoh T, et al. Early outcome of a randomized comparison of off-pump and on-pump multiple arterial coronary revascularization. Circulation. 2005;112:I338–43.
doi: 10.1161/CIRCULATIONAHA.104.524504
pubmed: 16159843
Takagi H, Umemoto T. Worse long-term survival after off-pump than on-pump coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2014;148:1820–9.
doi: 10.1016/j.jtcvs.2014.05.034
pubmed: 24946969
Chikwe J, Lee T, Itagaki S, Adams DH, Egorova NN. Long-term outcomes after off-pump versus on-pump coronary artery bypass grafting by experienced surgeons. J Am Coll Cardiol. 2018;72:1478–86.
doi: 10.1016/j.jacc.2018.07.029
pubmed: 30236310
Benedetto U, Caputo M, Patel NN, Fiorentino F, Bryan A, Angelini GD. Long-term survival after off-pump versus on-pump coronary artery bypass graft surgery. Does completeness of revascularization play a role? Int J Cardiol. 2017;246:32–6.
doi: 10.1016/j.ijcard.2017.04.087
pubmed: 28499666
Benedetto U, Lau C, Caputo M, Kim L, Feldman DN, Ohmes LB, et al. Comparison of outcomes for off-pump versus on-pump coronary artery bypass grafting in low-volume and high-volume centers and by low-volume and high-volume surgeons. Am J Cardiol. 2018;121:552–7.
doi: 10.1016/j.amjcard.2017.11.035
pubmed: 29291888
Benedetto U, Caputo M, Mariscalco G, Gaudino M, Chivasso P, Bryan A, et al. Impact of multiple arterial grafts in off-pump and on-pump coronary artery bypass surgery. J Thorac Cardiovasc Surg. 2017;153:300-9.e306.
doi: 10.1016/j.jtcvs.2016.10.084
pubmed: 27955911
Kirmani BH, Guo H, Ahmadyur O, Bittar MN. Long-term survival following on-pump and off-pump coronary artery bypass graft surgery: a propensity score-matched analysis. Eur J Cardiothorac Surg. 2019;56:1147–53.
doi: 10.1093/ejcts/ezz250
pubmed: 31740974
Gaudino M, Benedetto U, Fremes S, Biondi-Zoccai G, Sedrakyan A, Puskas JD, et al. Radial-artery or saphenous-vein grafts in coronary-artery bypass surgery. N Engl J Med. 2018;378:2069–77.
doi: 10.1056/NEJMoa1716026
pubmed: 29708851
Ruttmann E, Dietl M, Feuchtner GM, Metzler B, Bonaros N, Taggart DP, et al. Long-term clinical outcome and graft patency of radial artery and saphenous vein grafts in multiple arterial revascularization. J Thorac Cardiovasc Surg. 2019;158:442–50.
doi: 10.1016/j.jtcvs.2018.10.135
pubmed: 30551960
Kowalewski M, Pawliszak W, Malvindi PG, Bokszanski MP, Perlinski D, Raffa GM, et al. Off-pump coronary artery bypass grafting improves short-term outcomes in high-risk patients compared with on-pump coronary artery bypass grafting: meta-analysis. J Thorac Cardiovasc Surg. 2016;151:60-77 e61-58.
doi: 10.1016/j.jtcvs.2015.08.042
pubmed: 26433633
Zhao DF, Edelman JJ, Seco M, Bannon PG, Wilson MK, Byrom MJ, et al. Coronary artery bypass grafting with and without manipulation of the ascending aorta: a network meta-analysis. J Am Coll Cardiol. 2017;69:924–36.
doi: 10.1016/j.jacc.2016.11.071
pubmed: 28231944