To Use or Not to Use the Pump Oxygenator in Coronary Bypass Operations

Ankeney, Jay L.

doi:10.1016/s0003-4975(10)65744-x

Cited by 99 publications

(29 citation statements)

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“…The first considered minimally invasive cardiac procedures came with coronary artery bypass surgery without CPB, since when neutralizing the allegedly deleterious effects of extracorporeal perfusion, it would minimize the peroperative complications. Ankeny [18] and Kolessov [19] and Buffolo et al [20][21][22], in Brazil, presented their reports in international proceedings. Lobo Filho et al [23] in 1996 showed 97% of CABG in the last phase of his report.…”

Section: Discussionmentioning

confidence: 99%

Cirurgia cardíaca videoassistida

Júnior¹,

Pereira²,

Martins³

et al. 2012

Rev Bras Cir Cardiovasc

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Section: Discussionmentioning

confidence: 99%

Cirurgia cardíaca videoassistida

Júnior¹,

Pereira²,

Martins³

et al. 2012

Rev Bras Cir Cardiovasc

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“…Favaloro [6] in 1968, popularised coronary artery bypass with saphenous vein grafts using pump support. First reports of off pump coronary bypass procedures were presented in 1975 [7,8]. These authors concluded that the LAD and the RCA could be bypassed using a simple four traction suture technique with a mortality of 4.5%.…”

Section: Discussionmentioning

confidence: 99%

Beating Heart versus Conventional Coronary Bypass Surgery: Our Experience

Kaushish

Unni

Luthra

2010

Medical Journal Armed Forces India

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Background: Off-pump Coronary Artery Bypass (OPCAB) has become the standard surgical treatment of Coronary Artery Disease in most centres in India. It is clear from the current evidence that, in certain patients, OPCAB olTers advantages over conventional Coronary Artery Bypass Grafting (CABG). Experience of this procedure in the Armed Forces is highligbted. Methods: Retrospective analysis of 200 nonrandomized consecutive patients taken up for OPCAB and 200 conventional CABG between Jan 2005 and Dec 2007 was done. The European system for cardiac operative risk evaluation (euroSCORE) was used in all patients. Perioperative morbidity and mortality was compared in the two groups. Result: OPCAB was possible in 192 (96 %) out of200 patients taken up for this procedure. Eigbt patients required cardiopulmonary bypass (CPB) to complete the revascularization. Incidence ofreoperation for bleeding was 2.5% in OPCAB and 6% in CABG In the CABG group 2 % patients developed severe bleeding complications, 3 % required ventilation for more than 24 hour, 1 % required renal replacement therapy, 1 % had acute respiratory distress syndrome and 3.5 % had neuro-psychiatric manifestations. Incidence of these complications in OPCAB patients was lower or NIL. Overall mortality in the OPCAB group was 1.5 % and 2 % in the CABG group. However only one patient out of 192 (0.5 %) who underwent successful OPCAB died, while two patients out of eigbt who required conversion to CPB in this group died. Incidence of stroke, deep sternal infection and mortality was similar in both groups. Conclusion: OPCAB is safe, effective and can be offered to more than 90 % patients as the primary strategy for surgical myocardial revascularization. It has lower overall morbidity than conventional CABG Its main limitations are hemodynamic instability and inability to lind a deeply embedded target vessel. Both these factors offect the outcome adversely making conventional CABG a better option in these situations. MJAFI 2010; 66 : 357-361

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“…However, it is good to remember that the first experiments did not use CPB [9,10]. Reports on off-pump coronary artery bypass surgeries with good results promoted greater use of this surgical procedure [11,12].…”

Section: Discussionmentioning

confidence: 99%