REVIEW TO THE EDITOR LETTER For reprint orders, please contact: [email protected]
ROOBY trial data demonstrates revascularization had no impact on POAF G Hossein Almassi*,1,2, Annie Laurie Shroyer3, Joseph F Collins4 & Frederick L Grover5 Response to: Houlind K. On-pump versus off-pump coronary artery bypass surgery: what is the status after ROOBY, DOORS, CORONARY and GOPCABE? Future Cardiol. 9(4), 569–579 (2013). As a summary of the potential benefits of off-pump versus on-pump procedures, we read with interest the review article by Houlind entitled, ‘On-pump versus off-pump coronary artery bypass surgery: what is the status after ROOBY, DOORS, CORONARY and GOPCABE?’ as published in your Future Cardiology journal (9, 569–579 ; PubMed PMID: 23834696). We appreciated the very thoughtful and detailed review of these large-scale, randomized trials. We would, however, like to correct the statement on page 573, “…the incidence of postoperative atrial fibrillation (POAF) has not been reported in the CORONARY, ROOBY, GOPCABE or DOORS studies”. The ROOBY trial’s POAF findings were published in January 2012 documenting that “POAF developed in 268 of 1056 patients (25.4%) in the ONCAB group and in 283 of 1047 patients (27%) in the OPCAB cohort (p = 0.40). Thus, there was no difference in POAF rates based on ONCAB versus OPCAB strategy of revascularization”  . Unlike previous publications on this topic, the ROOBY trial’s prospectively collected POAF data demonstrated that the strategy of revascularization had no impact on POAF. Towards the goal of providing complete and accurate information to facilitate this dialogue, it is hoped our letter will augment Dr Houlind’s excellent review publication. Financial & competing interests disclosure
GH Almassi receives a partial research nurse salary support for conducting a clinical drug study from Lilly. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript.
Almassi GH, Pecsi SA, Collins JF, Shroyer AL, Zenati MA, Grover FL. Predictors and impact of postoperative atrial fibrillation on patients’ outcomes: a report from the Randomized On Versus Off Bypass trial. J. Thorac. Cardiovasc. Surg. 143(1), 93–102 (2012).
Division of Cardiothoracic Surgery, Medical College of Wisconsin, 9200 W Wisconsin Avenue, Milwaukee, WI 53226, USA Zablocki VA Medical Center, Milwaukee, WI, USA 3 Northport Veterans Affairs Medical Center, Northport, NY, USA 4 The Cooperative Studies Program Coordinating Center, Veterans Affairs Medical Center, Perry Point, MD, USA 5 The Eastern Colorado Health Care System, Denver, CO, USA *Author for correspondence: Tel.: +1 414 955 6919; Fax: +1 414 955 6204; [email protected]
10.2217/FCA.13.103 © 2014 Future Medicine Ltd
Future Cardiol. (2014) 10(2), 157