Complications of Cardiopulmonary Bypass and Cardioplegia

Ten year experience of using a novel metabolic protocol in ‘off pump’ coronary artery bypass revascularization

“…Coronary artery bypass (CAB) has been the procedure of choice for patients presenting with left main coronary artery stenosis or individuals with multivessel coronary artery disease with or without ventricular dysfunction. Cardiopulmonary bypass, commonly used during conventional CAB, is associated with known complications such as cerebral vascular accidents, neurocognitive disorders, renal failure and a generalized systemic inflammatory response with potential negative consequences [Creswell and Karis, 2009; Rastan et al 2006]. During the past several years, ‘off-pump’ CAB (OPCAB) has gained acceptance with the hope that the incidence of these known complications observed with conventional cardiopulmonary bypass might be reduced [Chaudhry et al 2014; Selke et al 2005].…”