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A Comparative Analysis of Short-Term Outcomes of Off Pump Coronary Artery Bypass Grafting Alone or Simultaneous Cerebral Revascularization: A Single-Center Retrospective Study.

A Comparative Analysis of Short-Term Outcomes of Off Pump Coronary Artery Bypass Grafting Alone or Simultaneous Cerebral Revascularization: A Single-Center Retrospective Study.

期刊: Clinical cardiology 日期: 2026-06-01 PMID: 42274115 DOI: 10.1002/clc.70373 浏览: 45
作者: Li B, Fang QR, Yao BC, Chen QL, Li JS, Wang Q, Zhao F, Wei D, Yang DY, Sun J
B, L., QR, F., BC, Y., QL, C., JS, L., Q, W., F, Z., D, W., DY, Y., & J, S. (2026). A Comparative Analysis of Short-Term Outcomes of Off Pump Coronary Artery Bypass Grafting Alone or Simultaneous Cerebral Revascularization: A Single-Center Retrospective Study.. Clinical cardiology. https://doi.org/10.1002/clc.70373
B L, QR F, BC Y, QL C, JS L, Q W, et al. A Comparative Analysis of Short-Term Outcomes of Off Pump Coronary Artery Bypass Grafting Alone or Simultaneous Cerebral Revascularization: A Single-Center Retrospective Study.. Clinical cardiology. 2026; doi: 10.1002/clc.70373
B L, QR F, BC Y, et al. A Comparative Analysis of Short-Term Outcomes of Off Pump Coronary Artery Bypass Grafting Alone or Simultaneous Cerebral Revascularization: A Single-Center Retrospective Study.[J]. Clinical cardiology. 2026. DOI: 10.1002/clc.70373.
@article{b2026,
  author = {Li B and Fang QR and Yao BC and Chen QL and Li JS and Wang Q and Zhao F and Wei D and Yang DY and Sun J},
  title = {A Comparative Analysis of Short-Term Outcomes of Off Pump Coronary Artery Bypass Grafting Alone or Simultaneous Cerebral Revascularization: A Single-Center Retrospective Study.},
  journal = {Clinical cardiology},
  year = {2026},
  doi = {10.1002/clc.70373},
  note = {PMID: 42274115},
}
TY  - JOUR
AU  - Li B
AU  - Fang QR
AU  - Yao BC
AU  - Chen QL
AU  - Li JS
AU  - Wang Q
AU  - Zhao F
AU  - Wei D
AU  - Yang DY
AU  - Sun J
TI  - A Comparative Analysis of Short-Term Outcomes of Off Pump Coronary Artery Bypass Grafting Alone or Simultaneous Cerebral Revascularization: A Single-Center Retrospective Study.
T2  - Clinical cardiology
PY  - 2026
DO  - 10.1002/clc.70373
AN  - PMID:42274115
ER  - 

摘要

OBJECTIVES: The impact of simultaneous coronary artery bypass grafting (CABG) with cerebral revascularization versus CABG alone on perioperative complications and short-term outcomes remains controversial in patients with simultaneous coronary and cerebrovascular disease. Our study was specifically designed to evaluate the effects of simultaneous cardio-cerebrovascular revascularization versus isolated off-pump CABG (OPCABG) in patients with severe carotid stenosis. METHODS: This retrospective analysis included patients undergoing OPCABG between May 2023 and May 2025. Participants were divided into two groups based on simultaneous carotid revascularization status, including the combined cardio-cerebrovascular revascularization group (n = 57) and the isolated OPCABG control group (n = 60). The primary endpoints comprised 30-day mortality and all-cause mortality during follow-up. Cardiac, hepatic, and renal function biomarkers were monitored daily for three consecutive postoperative days. Kaplan-Meier analysis demonstrated the survival probability of patients undergoing different surgical procedures throughout the follow-up period. RESULTS: Our study with a median follow-up of 11.5 months (IQR: 6.8-20.0 months) observed a lower short-term mortality rate of 5.3% (3/57) in the combined cardio-cerebrovascular revascularization group. Our results demonstrated no significant differences in 30-day mortality and all-cause mortality during follow-up between the combined cardio-cerebrovascular intervention and isolated OPCABG. No intergroup differences were observed in cardiac, hepatic, or renal function within the first three postoperative days. The combined surgical approach reduced hospitalization duration. CONCLUSION: Our findings demonstrated comparable short-term outcomes between patients receiving simultaneous cardio-cerebrovascular revascularization and those undergoing isolated CABG. This simultaneous intervention represents a clinically meaningful advancement in managing systemic vasculopathy.

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