OFF-PUMP BEATING HEART CORONARY ARTERY BYPASS (OPCAB) Initial Experience at King Khalid University Hospital King Saud University
ثبت نشده
چکیده
The development of new mechanical stabilizer in the market encouraged a lot of surgeons to practice offpump coronary artery bypass as this procedure avoids all the possible risks of cardio-pulmonary bypass, an essential element in the conventional coronary bypass operations. During a period of 50 months, the cardiac surgery unit in King Khalid University Hospital performed 85 cases of off-pump coronary artery bypass. The average number of graft was 3.1 per patient. The immediate hospital mortality was 2% to 3%. Conversion rate to conventional coronary artery bypass was 5.8%. Conclusion: Off-pump coronary artery bypass is a valid option with minimum morbidity and mortality in most subsets of patients. Acute ischaemia and diffuse disease patients are definitely not suitable for this procedure.
منابع مشابه
On-Pump Beating Coronary Artery Bypass in High Risk Coronary Patients
Background: There are some conflicting results with Conventional Coronary Artery Bypass Grafts (CCABG) with arrested heart in coronary high-risk patients. Moreover, performing off-pump CABG in these cases may be associated with serious complications. The objective of this study is to evaluate the efficacy of the on-pump beating CABG (OPBCABG) in coronary high-risk patients in comparison with th...
متن کاملComparison of neurological outcomes in patients undergoing conventional coronary artery bypass grafting, on-pump beating heart coronary bypass, and off-pump coronary bypass.
OBJECTIVE To study the differences in the prevalence of neurological complications following coronary artery bypass (CAB) carried out by conventional, on-pump beating and off-pump techniques. METHODS A retrospective analysis of all isolated coronary bypass operations (n=127) performed in King Fahad Cardiac Center, Riyadh over a period of one year starting from January 2005. Out of 127 patient...
متن کاملComparison of Treatment Outcomes in Off-pump Coronary Artery Bypass Graft and Medical Therapy in Patients with Triple-vessel Coronary Artery Disease and Severe Ventricular Dysfunction
Introduction: Heart failure is a major hazard for public health. Despite recent advance in medical therapy, there is not enough information on the outcome of off-pump coronary artery bypass (OPCAB) and medical therapy on the patients with severe ventricular dysfunction and triple-vessel (CAD). This study aimed to compare treatment outcomes and mortality rate in patients undergoing off-pump coro...
متن کاملOPCAB surgery: a voyage of discovery back to the future. Off-pump coronary artery bypass.
The resurgence of off-pump coronary artery bypass (OPCAB) surgery is rapidly changing surgical practice. After an initial phase of ‘healthy skepticism’, the impetus of some developed countries toward OPCAB surgery is remarkable. Hardly any OPCAB procedure was carried out before 1995 in the USA, however, by 1999 more than 11 000 (10%) coronary operations were performed on the beating heart. It i...
متن کاملMidterm results of beating heart surgery in 1-vessel disease: minimally invasive direct coronary artery bypass versus off-pump coronary artery bypass with full sternotomy.
BACKGROUND Off-pump cardiac surgery is becoming an established method of surgical revascularization. However, performing anastomoses on a beating heart can be challenging, especially through small incisions. We compared our midterm results in patients with 1 vessel disease using full sternotomy (OPCAB) or a left anterior minithoracotomy (MIDCAB). METHODS At our institution between December 19...
متن کامل