Development of SIMS (Simple Indigenous Metallic Stabilizer) for OPCAB

Vettath, Murali P.; Venkatachalam, Kannan Arunachalam; Gangadharan, Nitin; Ravisankar, Madhu; Koroth, Smera; Raman, Gopalakrishnan

doi:10.4236/wjcd.2019.95028

Cited by 2 publications

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“…Cardiac movement at the site of the anastomosis is another concern in OPCABG. However, these movements can be minimized using mechanical stabilizers and drug-induced (pharmacological) bradycardia [ 8 ] . Although the latter is a theoretically simple method, it may lead to a variety of side effects and even low cardiac output.…”

Section: Introductionmentioning

confidence: 99%

Short-Term Results of Ivabradine versus Metoprolol: The Effects on Atrial Fibrillation in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting

Tekin¹,

Yeşiltaş²,

Haberal³

2022

Braz J Cardiovasc Surg

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Introduction Classic coronary artery bypass grafting (CABG) surgery involves diastolic cardiac arrest under cardiopulmonary bypass, while off-pump CABG (OPCABG) has become widespread in recent years. Methods 174 patients who underwent OPCABG were included in the study. Patients were divided into two groups. Group I (n=90) received ivabradine and Group M (n=84) received metoprolol before surgery until postoperative day 10. Intraoperative arrhythmias and hypotension were recorded. Postoperative atrial fibrillation (AF) and arrhythmia, mortality and morbidity rates were assessed based on the 30-day postoperative follow-up. Results There were no significant differences in the intraoperative amount of inotropic support and red blood cell transfusion between groups (P=0.87 and P=0.31). However, the rates of intraoperative arrhythmias and hypotension were not significantly higher in Group M (P=0.317 and P=0.47). Ventricular tachycardia/ventricular fibrillation (VT/VF) was observed in 2 patients in both groups. Postoperative AF occurred in 7 patients (7.7%) in Group I and in 10 patients (11.9%) in Group M. Although there was a trend towards a higher prevalence of AF in Group M patients, this did not reach statistical significance. In addition, mortality and morbidity rates were comparable between groups.

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Section: Introductionmentioning

confidence: 99%

Short-Term Results of Ivabradine versus Metoprolol: The Effects on Atrial Fibrillation in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting

Tekin¹,

Yeşiltaş²,

Haberal³

2022

Braz J Cardiovasc Surg

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Revascularisation Strategies in OPCAB (Off Pump Coronary Artery Bypass)

Vettath¹,

Vellachamy²,

Nitin³

et al. 2020

Cardiac Surgery Procedures

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OPCAB was performed before the advent of heart lung machine. But with the development of stabilizers, coronary artery bypass grafting has been performed over the last two decades successfully in many centres around the world. But still 80% of bypass surgeries are done on the heart lung machine. We were one of the few teams who have been performing this OPCAB for the past 18 years. All along, we have been innovating, fabricating and developing and patenting instruments, techniques and technology to help us perform OPCAB in 100% of all our coronary patients. That too being able to reduce the mortality of bypass surgery to less than 0.5%. In this chapter, we have attempted to write down our strategy, in order to successfully perform OPCAB in all our patients, so that the coming generation can benefit from it.

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Development of SIMS (Simple Indigenous Metallic Stabilizer) for OPCAB

Cited by 2 publications

References 10 publications

Short-Term Results of Ivabradine versus Metoprolol: The Effects on Atrial Fibrillation in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting

Short-Term Results of Ivabradine versus Metoprolol: The Effects on Atrial Fibrillation in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting

Revascularisation Strategies in OPCAB (Off Pump Coronary Artery Bypass)

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