Document Detail

Is off-pump coronary artery bypass grafting in multivessel feasible.
MedLine Citation:
PMID:  12201564     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: "Off-pump" coronary artery bypass grafting (OPCABG) became more popular in recent years for its potential advantages of reducing perioperative morbidity related to cardiopulmonary bypass (CPB). We retrospectively analyzed the early results of multivessel OPCABG to compare them with conventional CABG under CPB. METHODS: From April 2000 to Oct 2000, 15 patients received multivessel OPCABG (group A). CTS or Octopus II stabilizer was used with coronary anastomosis. "Auto-perfusion system" was used at late stage of our series for myocardial protection in the procedure. At the same time, patients who received primary isolated CABG under CPB were compared as control (group B). RESULTS: There was no operative mortality or major morbidity in the group of multivessel OPCABG. Two patients who failed multivessel OPCABG due to hemodynamics compromise were converted to conventional CABG under CPB uneventfully. The amount of operative blood loss and donor blood transfusion, the duration of postoperative mechanical ventilation support, the mean intensive care unit stay and postoperative hospital stay were less in group A. CONCLUSIONS: Multivessel OPCABG is feasible in surgical techniques in selected patient. It is associated with minimal operative mortality and morbidity partly because of obviating the adverse effect of CPB. Prospective study with long-term follow-up is needed to better define the role of OPCABG.
Chung-Ben Kan; Jih-Shiuan Wang; Chiu-Yang Lee; Tarng-Jenn Yu; Cheng-Hsiung Huang; Chun-Tse Shih; Ming-Chi Yung; Shiau-Ting Lai
Related Documents :
7900634 - Arrhythmias and conduction disturbances after coronary artery bypass graft surgery: epi...
3261304 - Evolution of right ventricular performance after cabg.
11251264 - The radial artery in coronary re-operations.
18702964 - The relationship between obesity and atherosclerotic progression and prognosis among pa...
16928924 - Cardiac 16-mdct for anatomic and functional analysis: assessment of a biphasic contrast...
20482764 - Unusual towering elevation of troponin i after st-elevation myocardial infarction and i...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Zhonghua yi xue za zhi = Chinese medical journal; Free China ed     Volume:  65     ISSN:  0578-1337     ISO Abbreviation:  Zhonghua Yi Xue Za Zhi (Taipei)     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-08-30     Completed Date:  2002-09-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0005327     Medline TA:  Zhonghua Yi Xue Za Zhi (Taipei)     Country:  China (Republic: 1949- )    
Other Details:
Languages:  eng     Pagination:  247-53     Citation Subset:  IM    
Department of Surgery, Chia-Yi Christian Hospital, ROC.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cardiopulmonary Bypass*
Coronary Artery Bypass / adverse effects,  methods*
Middle Aged
Postoperative Complications
Retrospective Studies

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

Previous Document:  Surgical improvement of brain edema related to hypertensive intracerebral hemorrhage.
Next Document:  Non-stented pancreaticogastrostomy after pylorus-preserving pancreaticoduodenectomy.