Document Detail


The application of the Octopus stabilizing system for the treatment of high risk patients with coronary artery disease.
MedLine Citation:
PMID:  10613548     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: If coronary disease is the target of a minimally invasive procedure, median sternotomy or cardiopulmonary bypass or both can be avoided. Similar to the development in other fields of surgery, minimally invasive surgical techniques are gaining increased acceptance in the field of cardiothoracic surgery. Our experience with an off pump coronary artery bypass (OPCAB) technique in a special patients group with serious risk factors for the application of cardiopulmonary bypass has been analyzed. METHODS: Between March 1996 and January 1999, 88 patients (64 male, 24 female) with impaired left ventricular function, or other high risk factors jeopardizing the use of cardiopulmonary bypass, such as impaired renal or lung function or heavily calcified aorta, received a beating heart procedure using the Medtronic Octopus stabilizing system. RESULTS: All patients survived the actual operation, however, two multimorbide patients died of pneumonia on postoperative day 31 and postoperative day 35. CONCLUSIONS: Patients with single-vessel to multivessel disease and serious risk factors for cardiopulmonary bypass can be safely treated by OPCAB surgery. At our institution this technique presents the procedure of choice in this particular patients group.
Authors:
U Kappert; V Gulielmos; M Knaut; R Cichon; J Schneider; S Schueler
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  16 Suppl 2     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  1999 Nov 
Date Detail:
Created Date:  2000-01-12     Completed Date:  2000-01-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  S7-9     Citation Subset:  IM    
Affiliation:
Cardiovascular Institute, University Dresden, Germany.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Cardiopulmonary Bypass
Coronary Artery Bypass / instrumentation*,  mortality
Coronary Care Units
Coronary Disease / mortality,  physiopathology,  surgery*
Equipment Design
Female
Hemodynamics
Humans
Length of Stay
Male
Middle Aged
Patient Satisfaction
Retrospective Studies
Risk Factors
Surgical Procedures, Minimally Invasive / instrumentation*,  mortality
Survival Rate
Treatment Outcome

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


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