Off-Pump Coronary Artery Bypass Grafting Revisited: Experience and Evidence from Japan

Doi, Kiyoshi; Okawa, Kazunari

doi:10.5761/atcs.ra.12.02113

Cited by 8 publications

(9 citation statements)

References 56 publications

(51 reference statements)

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“…In general, the initial experience of performing OPCABG operations (performed generally in low-risk patients), based on numerous studies, could not convincingly demonstrate the advantages over performing such procedures on-pump. (5)(6)(7)(8) During the same period, the first reports on the results of OPCABG in high-risk patients appeared. (9) The milestone work was published by J.Puskas et al, (10) which convincingly demonstrated the advantages of OPCABG over on-pump CABG in high-risk patients.…”

Section: Discussionmentioning

confidence: 99%

Effects of the Presence of Left Main Coronary Artery Disease on the Results of Off-pump Coronary Artery Bypass Grafting Surgery

Sharipov¹,

Yarbekov²,

Omonov³

et al. 2017

IJBM

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Section: Discussionmentioning

confidence: 99%

Effects of the Presence of Left Main Coronary Artery Disease on the Results of Off-pump Coronary Artery Bypass Grafting Surgery

Sharipov¹,

Yarbekov²,

Omonov³

et al. 2017

IJBM

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“…Currently, with the exception of Japan and some other Asian countries, using a conventional cardiopulmonary bypass (CPB) circuit to perform CABG on an arresting heart is still considered the gold standard approach for surgical revascularization of CAD (11). There are about half a million surgical revascularization procedures either with CPB (on-pump CABG) or without (off-pump CAB [OPCAB]) performed in the United States every year (12).…”

Section: Evidence To Support Off-pump Cabgmentioning

confidence: 99%

“…In the United States, only 20% to 25% of CABG surgeries are performed off-pump versus more than 65% of such procedures that are carried out in Asian countries such as Japan (11,42). Equal success has been achieved using both thoracic epidural anesthesia and general anesthesia techniques for OPCAB surgery (40,(47)(48)(49).…”

Section: Anesthetic Technique and Perioperative Challenges Of Opcabmentioning

confidence: 99%

On- or Off-Pump Coronary Artery Bypass: What Is the Evidence?

Sun¹,

Peng²

2016

J Anesth Perioper Med

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“…In the Stand-in-Y trial, event-free survival was similar in patients who received a radial artery compared with a second IMA graft 8 . Two moderately large, singlecenter observational studies using propensity scores have recently been published.…”

Section: Clinical Outcomementioning

confidence: 99%

Clinical Outcomes for Radial Artery Versus Saphenous Vein in Coronary Artery Bypass Graft Surgery

et al. 2018

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Introduction:The long-term patency of conduits used is one of the most important variables in determining long-term outcomes aftercoronaryarterybypass grafting (CABG) 1 .It has been well documented and demonstrated that the use of the left internal mammary artery (LIMA) to graft the left anterior descending (LAD) artery is gold standard for conventional CABG operations and has signiûcant beneûts compared with using asaphenous vein graft (SVG) 1 .Its use has been shown to result in a lower incidence of re-intervention, fewer myocardial infarctions, a lower incidence of angina, and lower associated mortality rates than with the use of saphenous vein grafts alone 1 .It was assumed that this inherent superiority of the LIMA over SVG would also be true of other arterial conduits such as the right internal mammary artery (RIMA), the radial artery (RA) and the right gastroepiploic artery (RGEA). 1 This assumed inherent superiority of using any arterial conduit compared with using an SVG to targets other than the LAD artery has been much harder to prove. Conduit selection for the left circumflex and right coronary artery territories has been more variable amongst surgeons. 2 right ITA is less useful than the left ITA, as it will not always reach the right coronary artery (RCA) branches without tension, leading to its use predominantly as a free graft, with a lower patency rate when attached to the ascending aorta. Another reason for cautious use of bilateral ITA was related to the increased risk of sternal wound infection. Results: This study reports on our series of 200 patients undergoing isolated, primary CABG using LIMA grafting and the SVG in one group, and RA grafting as the second conduit in the second group. Our data indicate that there is no difference in the long-term clinical outcome between the patients in whom RA or SVG is used as a second conduit, beside LIMA. Conclusion:In this small randomized study our data indicate that there is no difference in the 4 year clinical outcomes in relatively young patients between those having a RA or a saphenous vein graft used as a second conduit, beside LIMA, for surgical myocardial revascularization.

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Off-Pump Coronary Artery Bypass Grafting Revisited: Experience and Evidence from Japan

Cited by 8 publications

References 56 publications

Effects of the Presence of Left Main Coronary Artery Disease on the Results of Off-pump Coronary Artery Bypass Grafting Surgery

Effects of the Presence of Left Main Coronary Artery Disease on the Results of Off-pump Coronary Artery Bypass Grafting Surgery

On- or Off-Pump Coronary Artery Bypass: What Is the Evidence?

Clinical Outcomes for Radial Artery Versus Saphenous Vein in Coronary Artery Bypass Graft Surgery

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