Document Detail


Off-pump coronary artery bypass surgery--initial experience in Gdansk: a brief review.
MedLine Citation:
PMID:  12538138     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Before the introduction of cardiopulmonary bypass (CPB), coronary artery bypass grafting (CABG) procedures were performed on a beating heart. In 1967, Kolessov first reported "off-pump" revascularization of the left anterior descending artery (LAD). This technique was later abandoned when the use of cardioplegia and the heart-lung machine allowed a motionless and bloodless operative field. This study reports our initial clinical experience in off-pump coronary bypass surgery performed at the Department of Cardiac Surgery of the Medical University of Gdansk, Poland. METHODS: This study enrolled all consecutive patients who were operated on at our institution without CPB between January 1998 and December 2001. Patients were selected for the off-pump procedure individually by the surgeon. Demographics, operative procedures, postoperative mortality, morbidity, and early outcomes were analyzed. The observation period included 30 postoperative days. RESULTS: An average of 1.8 grafts per patient were completed. Conversion to CPB was required in 4.1% of patients. Complete revascularization was attained in 91% of the procedures. Surgical mortality was 1.3% and perioperative myocardial infarction was reported in 2.4%. CONCLUSIONS: In selected patients, off-pump CABG may be used as a suitable and safe alternative to conventional on-pump coronary surgery and permits complete revascularization with comparable short-term results.
Authors:
Luther Keita; Lech Anisimowicz
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The heart surgery forum     Volume:  5     ISSN:  1098-3511     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2002  
Date Detail:
Created Date:  2003-01-22     Completed Date:  2003-03-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  240-2     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, Medical University of Gdansk, Gdansk, Poland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Anastomosis, Surgical
Cardiopulmonary Bypass
Coronary Artery Bypass*
Coronary Artery Disease / complications,  physiopathology,  surgery
Hemodynamics / physiology
Hospital Mortality
Humans
Intra-Aortic Balloon Pumping
Length of Stay
Mammary Arteries / surgery
Middle Aged
Poland
Postoperative Complications / etiology,  surgery
Reoperation
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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