Myocardial protection and early outcome of different coronary surgical techniques for diabetic patients with triple vessels.

The incidence of hemodialysis, stroke (new acute focal neurologic deficit with signs and symptoms lasting greater than 24 hours, and neurologic events including transient ischemic attack and stroke), reoperation for bleeding, and infective complications were less among the OPCAB group, but the difference did not reach statistical significance (P =.527, P =.243, P =.415, and P =.097, respectively).

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26 An observed trend toward a higher mean number of coronary anastomoses and 1-year rates of graft patency in the OnP group when compared to the OPCAB group was reported. 10 However, a randomized trial concluded that off-pump and on-pump CABG were associated with similar early and late graft patency, incidence rates of recurrent or residual MI, the need for reintervention, and long-term survival. 27 Although we observed slightly fewer anastomoses in the OPCAB group than in the other 2 groups, no statistical difference was observed (OPCAB, 3.18 [0.64]; OnP-BH, 3.21 [0.66]; OnP, 3.22 [0.61]).

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On the contrary, in-hospital mortality was lower in the OPCAB group than in the other two groups, but the difference failed to reach statistical significance (OPCAB, n=2, 0.9%; OnP-BH, n=4, 1.2%; OnP, n=7, 3.1%).

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