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Previous studies comparing on-pump and off-pump operating strategy did only partially demonstrate benefits of the off-pump myocardial revascularisation.In primary end-points (MI, death, renal failure, and so on) there was no significant difference, but in secondary end-points we observed benefits resulting for patients. We would like to show the benefit of the method without extracorporeal circulation in patients with higher and hight operation risk, coming from EuroSCORE classification system (6 points and more).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Patients with ischemic heart disease, with EuroSCORE 6 additive points and more, operated with use of the cardio-pulmonary bypass | ||
| 2 | Patients with ischemic heart disease, with EuroSCORE 6 additive points and more, operated without use of the cardio-pulmonary bypass |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OPCAB - the off-pump coronary artery bypass | Procedure | surgical myocardial revascularisation without use of cardio-pulmonary bypass, using stabilising devices on beating heart |
|
| Measure | Description | Time Frame |
|---|---|---|
| death, heart stroke, brain stroke, renal failure, early reoperation | 30 days | |
| heart stroke, brain stroke, death, renal failure, early reoperation | 30 days and 365 days |
| Measure | Description | Time Frame |
|---|---|---|
| length of in-hospital stay, blood losses, number of blood-transfusion, new appeared atrial fibrillation, 1-year mortality, quality of life-angina classified by CCS in 1-year follow up, length of mechanical ventilation | 30 days and 365 days |
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Inclusion Criteria:
Exclusion Criteria:
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People indicated for surgical myocardial revascularisation with high surgical risk
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| Name | Affiliation | Role |
|---|---|---|
| Zbynek Straka, 1 | Charles University, Prague | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kralovske Vinohrady University Hospital | Prague | 10034 | Czechia | |||
| 2nd Surgical Dpt. of 1st Faculty of Medicine of Charles University, Prague |
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| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| Prague |
| 11000 |
| Czechia |