Establishment of off-pump coronary artery bypass surgery services in newly established tertiary care cardiac center.

Abstract

Objective: To present our early results and share our experience in establishing this service in newly build tertiary care cardiac center. Study Design: Retrospective Observational study. Setting: Peshawar Institute of Cardiology. Period: 2020-2023. Methods: We included a number of (n=75) patients who underwent for off-pump coronary artery bypass grafting surgery. Ethical consideration was taken from institutional review board committee. Data was extracted from Electronic Medical Record, entered and analyzed in SPSS version 23.0. Results: The mean age of the patients was (57.67±10.058), mean weight (74.24±12.514), mean Intensive Care Unit stay (32±12.683), mean hospital stay (3.79±1.189) and mean number of grafts (1.73±.890) was assessed in our study. 88% patient’s shows with no post-operative complications, Arrhythmia 2.6%, wound infection 4%, re-exploration for bleeding 4% and pneumonia 1.3%. Conclusion: Our early result shows safety and feasibility of off pump coronary artery bypass surgery at newly build tertiary care cardiac center, Peshawar Institute of Cardiology (PIC) with comparable early outcomes in terms of morbidity with other well-established OPCAB Centre.