Coronary Artery Bypass, Off-Pump: Coronary artery bypass surgery on a beating HEART without a CARDIOPULMONARY BYPASS (diverting the flow of blood from the heart and lungs through an oxygenator).Coronary Artery Bypass: Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Coronary Artery Disease: Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause.Cardiopulmonary Bypass: Diversion of the flow of blood from the entrance of the right atrium directly to the aorta (or femoral artery) via an oxygenator thus bypassing both the heart and lungs.Decision Making: The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.Coronary Vessels: The veins and arteries of the HEART.Directories as Topic: Lists of persons or organizations, systematically arranged, usually in alphabetic or classed order, giving address, affiliations, etc., for individuals, and giving address, officers, functions, and similar data for organizations. (ALA Glossary of Library and Information Science, 1983)Medical Illustration: The field which deals with illustrative clarification of biomedical concepts, as in the use of diagrams and drawings. The illustration may be produced by hand, photography, computer, or other electronic or mechanical methods.Mouth FloorSpectroscopy, Near-Infrared: A noninvasive technique that uses the differential absorption properties of hemoglobin and myoglobin to evaluate tissue oxygenation and indirectly can measure regional hemodynamics and blood flow. Near-infrared light (NIR) can propagate through tissues and at particular wavelengths is differentially absorbed by oxygenated vs. deoxygenated forms of hemoglobin and myoglobin. Illumination of intact tissue with NIR allows qualitative assessment of changes in the tissue concentration of these molecules. The analysis is also used to determine body composition.Microcirculation: The circulation of the BLOOD through the MICROVASCULAR NETWORK.Balloon Occlusion: Use of a balloon CATHETER to block the flow of blood through an artery or vein.Hospitals, Low-Volume: Hospitals with a much lower than average utilization by physicians and smaller number of procedures.Research Support, U.S. Gov't, Non-P.H.S.Research Support, U.S. Gov't, P.H.S.Research Support, Non-U.S. Gov'tHeart-Lung Machine: Apparatus that provides mechanical circulatory support during open-heart surgery, by passing the heart to facilitate surgery on the organ. The basic function of the machine is to oxygenate the body's venous supply of blood and then pump it back into the arterial system. The machine also provides intracardiac suction, filtration, and temperature control. Some of the more important components of these machines include pumps, oxygenators, temperature regulators, and filters. (UMDNS, 1999)Coronary Disease: An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels.Propensity Score: Conditional probability of exposure to a treatment given observed covariates.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.SwitzerlandColor: The visually perceived property of objects created by absorption or reflection of specific wavelengths of light.Hemoglobins, Abnormal: Hemoglobins characterized by structural alterations within the molecule. The alteration can be either absence, addition or substitution of one or more amino acids in the globin part of the molecule at selected positions in the polypeptide chains.Electronic Mail: Messages between computer users via COMPUTER COMMUNICATION NETWORKS. This feature duplicates most of the features of paper mail, such as forwarding, multiple copies, and attachments of images and other file types, but with a speed advantage. The term also refers to an individual message sent in this way.Randomized Controlled Trials as Topic: Works about clinical trials that involve at least one test treatment and one control treatment, concurrent enrollment and follow-up of the test- and control-treated groups, and in which the treatments to be administered are selected by a random process, such as the use of a random-numbers table.Pneumothorax, Artificial: Injection of air or a more slowly absorbed gas such as nitrogen, into the PLEURAL CAVITY to collapse the lung.Coronary Angiography: Radiography of the vascular system of the heart muscle after injection of a contrast medium.Acute Kidney Injury: Abrupt reduction in kidney function. Acute kidney injury encompasses the entire spectrum of the syndrome including acute kidney failure; ACUTE KIDNEY TUBULAR NECROSIS; and other less severe conditions.Hyperglycemia: Abnormally high BLOOD GLUCOSE level.Kidney Failure, Chronic: The end-stage of CHRONIC RENAL INSUFFICIENCY. It is characterized by the severe irreversible kidney damage (as measured by the level of PROTEINURIA) and the reduction in GLOMERULAR FILTRATION RATE to less than 15 ml per min (Kidney Foundation: Kidney Disease Outcome Quality Initiative, 2002). These patients generally require HEMODIALYSIS or KIDNEY TRANSPLANTATION.Hypernatremia: Excessive amount of sodium in the blood. (Dorland, 27th ed)Patient Education as Topic: The teaching or training of patients concerning their own health needs.Serum Albumin: A major protein in the BLOOD. It is important in maintaining the colloidal osmotic pressure and transporting large organic molecules.Albumins: Water-soluble proteins found in egg whites, blood, lymph, and other tissues and fluids. They coagulate upon heating.Hypoalbuminemia: A condition in which albumin level in blood (SERUM ALBUMIN) is below the normal range. Hypoalbuminemia may be due to decreased hepatic albumin synthesis, increased albumin catabolism, altered albumin distribution, or albumin loss through the urine (ALBUMINURIA).Blood Grouping and Crossmatching: Testing erythrocytes to determine presence or absence of blood-group antigens, testing of serum to determine the presence or absence of antibodies to these antigens, and selecting biocompatible blood by crossmatching samples from the donor against samples from the recipient. Crossmatching is performed prior to transfusion.Stroke: A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)MissouriInternet: A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.Library Technical Services: Acquisition, organization, and preparation of library materials for use, including selection, weeding, cataloging, classification, and preservation.Catalogs, LibraryRegistries: The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.Translational Medical Research: The application of discoveries generated by laboratory research and preclinical studies to the development of clinical trials and studies in humans. A second area of translational research concerns enhancing the adoption of best practices.Salivary Gland Calculi: Calculi occurring in a salivary gland. Most salivary gland calculi occur in the submandibular gland, but can also occur in the parotid gland and in the sublingual and minor salivary glands.Anesthesiology: A specialty concerned with the study of anesthetics and anesthesia.Privacy: The state of being free from intrusion or disturbance in one's private life or affairs. (Random House Unabridged Dictionary, 2d ed, 1993)Confidentiality: The privacy of information and its protection against unauthorized disclosure.Computer Security: Protective measures against unauthorized access to or interference with computer operating systems, telecommunications, or data structures, especially the modification, deletion, destruction, or release of data in computers. It includes methods of forestalling interference by computer viruses or so-called computer hackers aiming to compromise stored data.Informed Consent: Voluntary authorization, by a patient or research subject, with full comprehension of the risks involved, for diagnostic or investigative procedures, and for medical and surgical treatment.Anesthesia Department, Hospital: Hospital department responsible for the administration of functions and activities pertaining to the delivery of anesthetics.

Value of delayed-enhancement cardiovascular magnetic resonance imaging in predicting myocardial viability after surgical revascularization. (1/407)

BACKGROUND: Despite the accepted utility of delayed-enhancement MRI in identifying irreversible myocardial injury, no study has yet assessed its role as a viability tool exclusively in the setting of coronary artery bypass surgery (CABG), and no study has repeated delayed-enhancement MRI late after revascularization. In a clinical trial in which patients underwent CABG by either the off-pump or on-pump surgical technique, we hypothesized that (1) preoperative delayed-enhancement MRI would have high diagnostic accuracy in predicting viability and (2) the occurrence of perioperative myocardial necrosis would affect late regional wall motion recovery. METHODS AND RESULTS: Fifty-two patients undergoing multivessel CABG were studied by preoperative and early (day 6) and late (6 months) postoperative cine MRI for global and regional functional assessment and delayed-enhancement MRI for assessment of irreversible myocardial injury. Preoperatively, 611 segments (21%) had abnormal regional function, whereas 421 segments (14%) showed evidence of hyperenhancement. At 6 months after revascularization, 57% (343 of 611) of dysfunctional segments improved contraction by at least 1 grade. When all preoperative dysfunctional segments were analyzed, there was a strong correlation between the transmural extent of hyperenhancement and the recovery in regional function at 6 months (P<0.001). Of a total of 96 previously dysfunctional but nonenhancing or minimally hyperenhancing myocardial segments that did not improve regional function at 6 months, 35 (36%) demonstrated new perioperative hyperenhancement in the early postoperative MRI scan. CONCLUSIONS: Delayed-enhancement MRI is a powerful predictor of myocardial viability after surgery, suggesting an important role for this technique in clinical viability assessment.  (+info)

On-pump versus off-pump coronary artery bypass surgery in a matched sample of women: a comparison of outcomes. (2/407)

BACKGROUND: Women have consistently higher mortality and morbidity than men after coronary artery bypass grafting (CABG). Whether elimination of cardiopulmonary bypass and performance of coronary artery bypass grafting off-pump (OPCAB) have a beneficial effect specifically in women has not been defined. METHODS AND RESULTS: From January 1998 through March 2002, 21 902 consecutive female patients at 82 hospitals underwent isolated CABG, as reported in an administrative database. Propensity score computer matching was performed based on 13 variables representing patient characteristics and preoperative risk factors to correct for and minimize selection bias. A total of 7376 (3688 pairs) women undergoing CABG surgery were able to be successfully matched. In a propensity score computer-matched cohort, multivariate logistic regression (odds ratio) revealed that women undergoing on-pump surgery had a 73.3% higher mortality (P=0.002) and a 47.2% higher risk of bleeding complications (P=0.019). CONCLUSIONS: In a retrospective analysis of women undergoing CABG, computer-matched to minimize selection bias, off-pump surgery led to decreased mortality and morbidity including bleeding complications.  (+info)

Why is off-pump coronary surgery uncommon in Canada? Results of a population-based survey of Canadian heart surgeons. (3/407)

BACKGROUND: Off-pump coronary artery bypass (OPCAB) is proposed to improve clinical outcomes and decrease resource use. However, off-pump surgery is not widely used in Canada. The purpose of this study was to determine the current use of OPCAB in Canada and determine why surgeons have not adopted this technique. METHODS AND RESULTS: The study was a population-based survey of all adult Canadian cardiac surgeons in practice >1 year. Eligible division heads and surgeons were contacted by mail. Of 19 806 isolated coronary bypass surgeries performed by respondents in Canada last year, 3164 (16.0%) were performed off-pump. More than 50% of Canadian surgeons performed OPCAB in <5% of coronary cases, and only 17% of surgeons performed OPCAB in >25% of coronary cases. Only 4 responding centers performed OPCAB in >25% of cases. Respondents were divided into those who performed <5% of cases off-pump (nonadopters), 5% to 25% off-pump (intermediate users), or >25% off-pump (enthusiasts). Mean number of distal anastomoses in off-pump cases were 1.7+/-0.6, 1.6+/-0.6, and 3.3+/-0.5 for nonadopters, intermediate users, and enthusiasts, respectively (P=0.001). Eleven percent of nonadopters, 55% of intermediate users, and 81% of enthusiasts believed OPCAB improved clinical outcomes (P<0.0001). Only 23% of all respondents felt OPCAB use would increase in the next 5 years. CONCLUSIONS: Concerns regarding incomplete revascularization and lack of proven clinical benefit have limited OPCAB to being performed routinely by only a small number of surgeons in Canada.  (+info)

Role of coronary collaterals in off-pump and on-pump coronary bypass surgery. (4/407)

BACKGROUND: Collaterals limit infarct size, preserve viability, and reduce mortality in patients with acute myocardial infarction. In patients with stable coronary disease, collaterals are associated with less angina and ischemia during angioplasty and fewer ischemic events during follow-up. The role of collaterals has not been studied in patients undergoing off-pump or on-pump bypass surgery. METHODS AND RESULTS: The population consisted of the 281 patients randomized to off-pump or on-pump CABG in the Octopus Study. Collaterals were defined on the baseline angiogram with the Rentrop score and were present in 49% and 51% of the patients in the off-pump and on-pump group, respectively. Perioperative myocardial infarction was defined by a creatine kinase-MB to CK ratio >10% and occurred in 18.2% in the off-pump group and 32.5% in the on-pump group. The unadjusted OR of perioperative myocardial infarction in the presence of collaterals was 0.31 (95% CI 0.17 to 0.84) in the off-pump group and 1.06 (95% CI 0.29 to 3.85) in the on-pump group After adjustment for age, gender, hypertension, hypercholesterolemia, diabetes, multivessel disease, ventricular dysfunction, incomplete revascularization, and ischemic time, the OR was 0.34 (95% CI 0.14 to 0.84) in the off-pump group and 1.28 (95% CI 0.30 to 5.40) in the on-pump group, respectively. Kaplan-Meier estimates of event-free survival at 1 year were 87% in patients with and 69% in those without collaterals after off-pump CABG. These estimates were 66% and 63%, respectively, after on-pump CABG. CONCLUSIONS: Collaterals protect against perioperative myocardial infarction during off-pump surgery but not during on-pump surgery and are associated with a better 1-year event-free survival.  (+info)

Cardiomed coronary flow meter for prevention of early occlusion in aortocoronary bypass grafting. (5/407)

INTRODUCTION: The number of patients undergoing technically demanding off-pump myocardial revascularization is increasing, these days. Some researchers question the quality of the aortocoronary bypasses done on the beating heart and consequently their good patency. MATERIAL AND METHODS: 50 consecutive patients underwent off pump coronary surgery using sequential bypass technique, at our department. The quality of constructed grafts was evaluated using the CardioMed Trace System (CM4008, Medi-Stim As, Oslo, Norway) (TTFM). RESULTS: All sequential bypasses showed good per-operative quality with a mean fl ow of 69.4 ml/min. CONCLUSION: TTFM seems to be an effective tool for the per-operative aortocoronary bypass patency verification and should help to prevent early graft occlusion. ABBREVIATIONS: TTFM transit time flow meter.  (+info)

One-year coronary bypass graft patency: a randomized comparison between off-pump and on-pump surgery angiographic results of the PRAGUE-4 trial. (6/407)

BACKGROUND: Off-pump coronary bypass surgery has become a widely used technique during recent years. However, limited data are available with regard to 1-year patency of bypass grafts implanted on the beating heart in unselected consecutive bypass surgery candidates. The aim of this study was to compare 1-year angiographic patency of bypass grafts done on the beating heart (off pump) with those done classically (on pump). METHODS AND RESULTS: The PRAGUE-4 trial randomized 400 consecutive nonselected cardiac surgery candidates into group A (on pump; n=192) and group B (off pump; n=208). One-year follow-up coronary angiography was done in 255 patients. The arterial graft patency after 1 year was 91% in both groups. Saphenous graft patency was 59% (on pump) versus 49% (off pump; P=NS). Saphenous graft patency per patient was lower in the off-pump group: 0.7 patent anastomosis per patient versus 1.1 patent anastomosis in the on-pump group (P<0.01). There were 46% on-pump patients with all grafts patent versus 52% off-pump patients (P=NS). Grafts anastomosed distally to collateralized chronic total occlusions of native coronary arteries remained patent in 100% on the left anterior descending artery compared with 23% on other arteries (P<0.0001). CONCLUSIONS: The patency of arterial coronary bypass grafts done on the beating heart is excellent and equal to grafts done on pump. The off-pump procedure in the unselected patient population results in fewer patent saphenous grafts per patient.  (+info)

Off-pump coronary artery bypass grafting: single center experience with 1,000 consecutive patients. (7/407)

BACKGROUND: Advances in surgical techniques and retractor-stabilizer devices allowing access to all coronary segments have resulted in increased interest in off-pump coronary artery bypass. The residual motion in the anastomotic site and potential hemodynamic derangements, however, render this operation technically more demanding. OBJECTIVES: To evaluate the OPCAB experience in a single Israeli center. METHODS: Between 2000 and 2003 in our institution, 1,000 patients underwent off-pump operations. Patients were grouped by the type of procedure, i.e., minimally invasive direct coronary artery bypass or mid-sternotomy OPCAB. RESULTS: One hundred MIDCAB operations were performed. Of the 900 OPCAB, 767 patients received multiple grafts with an average of 2.6 +/- 0.6 grafts per patient (range 2-4) and the remaining patients underwent single grafting during hybrid or emergency procedures. In the multiple-graft OPCAB group, complete revascularization was achieved in 96%. Multiple arterial conduits were used in 76% of the patients, and total arterial revascularization without aortic manipulation, using T-graft (35%) or in situ configurations, was performed in 61%. The respective rates for early mortality, myocardial infarction and stroke in the MIDCAB were 1%, 0% and 2%, and 2%, 1.3% and 0.9% in the multiple-vessel OPCAB groups. Multivariate analysis identified renal dysfunction (odds ratio 11.5, confidence interval 3.02-43.8; P < 0.0001) and emergency operation (OR 8.74, CL 1.99-38.3; P = 0.004) as predictors of mortality. The proportion of off-pump procedures increased from 9% prior to the study period to 59%. CONCLUSIONS: The use of OPCAB does not compromise the ability to achieve complete myocardial revascularization. Our procedure of choice is OPCAB using arterial conduits, preferably the 'no-touch' aorta technique.  (+info)

Off-pump bypass surgery: the early experience, 1969-1985. (8/407)

This is a review of 733 patients who underwent off-pump bypass surgery of the right coronary artery and left anterior descending coronary artery between 1969 and 1985. Two hundred sixty-four patients underwent single bypass of the left anterior descending coronary artery, and 79 patients underwent single bypass of the right coronary artery. Both the left anterior descending and right coronary arteries were bypassed in 390 patients. In contrast to the present-day use of mechanical devices to stabilize the target vessel, a 4-suture surgical technique was used for this purpose. This technique, which we illustrate, proved less cumbersome and made the graft anastomosis easy to perform. Our early experience (1969 through 1972) in operating on 199 patients resulted in an operative mortality rate of 4.5% (9/199). From 1973 through 1985, improved patient selection and use of the left internal thoracic artery as the conduit of choice for bypass of the left anterior descending coronary artery reduced the operative mortality rate for 534 patients to 1.3% (7/534). Routine postoperative angiograms were not performed; therefore, the graft patency rate is not available. However, an ongoing 34-year follow-up study of the 264 patients who underwent a single left anterior descending bypass showed the saphenous vein graft to be open in 64.3% (18/28) patients and the left internal thoracic graft in 92.2% (59/64) of patients studied. Seventy-four of the 264 patients in this study were still alive in 2003.  (+info)

*Off-pump coronary artery bypass

... or "beating heart" surgery is a form of coronary artery bypass graft (CABG) surgery performed ... Cardiac surgeon Coronary artery bypass surgery (CABG) Minimally invasive direct coronary artery bypass surgery (MIDCAB) ... Off-pump coronary artery bypass was developed partly to avoid the complications of cardiopulmonary bypass during cardiac ... When a cardiac surgeon chooses to perform the CABG procedure off-pump, also known as OPCAB (Off-pump Coronary Artery Bypass), ...

*Minimally invasive cardiac surgery

This technique is an off-pump coronary artery bypass surgery. The procedure is much less invasive than traditional bypass ... Minimally Invasive Coronary Artery Bypass Grafting: An Alternative Approach to Perform Coronary Artery Bypass Grafting on the ... January 2011). "Results of completion arteriography after minimally invasive off-pump coronary artery bypass". The Annals of ... Hoff SJ (2009). "Off-pump coronary artery bypass: techniques, pitfalls, and results". Seminars in Thoracic and Cardiovascular ...

*Ritam Chowdhury

"Risk factors for conversion to cardiopulmonary bypass during off-pump coronary artery bypass surgery". The Annals of Thoracic ... "The impact of hybrid coronary revascularization on hospital costs and reimbursements". The Annals of Thoracic Surgery. 97 (5): ...

*Vein graft failure

"Disruption of graft endothelium correlates with early failure after off-pump coronary artery bypass surgery". The Annals of ... "Long-term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery". Journal of ... Nwasokwa, ON (1 October 1995). "Coronary artery bypass graft disease". Annals of Internal Medicine. 123 (7): 528-45. PMID ... and outcomes after coronary artery bypass graft surgery: follow-up from the PREVENT IV randomized clinical trial". JAMA surgery ...

*Cardiothoracic surgery

... "off-pump bypass surgery" - coronary artery bypass surgery without the aforementioned cardiopulmonary bypass. In these ... 2002). "Cognitive outcome after off-pump and on-pump coronary artery bypass graft surgery: a randomized trial". JAMA. 287 (11 ... One of the more commonly known cardiac surgery procedures is the coronary artery bypass graft (CABG), also known as "bypass ... 2001). "Longitudinal assessment of neurocognitive function after coronary-artery bypass surgery". N Engl J Med. 344 (6): 395- ...

*Cardiac surgery

In the early 1990s, surgeons began to perform off-pump coronary artery bypass, done without cardiopulmonary bypass. In these ... 2002). "Cognitive outcome after off-pump and on-pump coronary artery bypass graft surgery: a randomized trial". JAMA. 287 (11 ... Coronary artery bypass grafting, also called revascularization, is a common surgical procedure to create an alternative path to ... "What To Expect After Coronary Artery Bypass Grafting - NHLBI, NIH". www.nhlbi.nih.gov. Retrieved 2016-07-08. Stark J; Gallivan ...

*Minimally invasive direct coronary artery bypass surgery

MIDCAB is a form of off-pump coronary artery bypass surgery (OPCAB), performed "off-pump" - without the use of cardiopulmonary ... Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) is a surgical treatment for coronary heart disease that is a less ... and coronary stenting. Cardiac surgeon Cardiac surgery Totally endoscopic coronary artery bypass surgery. ... invasive method of coronary artery bypass surgery (CABG). MIDCAB gains surgical access to the heart with a smaller incision ...

*Vasoplegic syndrome

October 2008). "Is incidence of postoperative vasoplegic syndrome different between off-pump and on-pump coronary artery bypass ... VPS occurs more frequently after on pump CABG surgery versus off pump CABG surgery. Hypothermia during surgery may also ... Dose 0.5mg/kg on cardiopulmonary bypass. One case series reports a rate of 1 in 120 cases. "Critical Care , Full text , ... Vasoplegic syndrome after cardiopulmonary bypass surgery - associated factors and clinical outcomes: a nested case-control ...

*Hybrid coronary revascularization

2011). Simultaneous hybrid revascularization versus off-pump coronary artery bypass for multivessel coronary artery disease. ... venous coronary artery bypass grafts in 366 adult patients (14% of the patients) with complex coronary artery disease. Their ... coronary bypass is a relatively new type of heart surgery that provides an alternative to traditional coronary artery bypass ... revascularization reduces postoperative morbidity compared with results from conventional off-pump coronary artery bypass. The ...

*Postperfusion syndrome

"Cognitive outcomes three years after coronary artery bypass surgery: a comparison of on-pump coronary artery bypass graft ... Subsequent studies have compared "on-pump" CABG to off-pump coronary artery bypass (OPCAB)-essentially establishing controls to ... "Cognitive outcome after off-pump and on-pump coronary artery bypass graft surgery: a randomized trial". JAMA. 287 (11): 1405-12 ... "Assessment of neurocognitive impairment after off-pump and on-pump techniques for coronary artery bypass graft surgery: ...

*Robert S. Poston

Griffith's guidance, he developed a clinical and research niche in off-pump Coronary artery bypass surgery and robotic CABG, ... at University of Arizona Medical Center most noted for his research in robot-assisted heart surgery and Coronary Artery Bypass ... Medical Center as the chief of Cardiac Surgery with a very aggressive plan to establish a program in robotic coronary bypass ... on the quality of bypass conduits and Cardiogenesis to study the impact of laser revascularization techniques on bypass graft ...

*Post-presidency of Bill Clinton

... where he underwent a successful on-pump quadruple coronary artery bypass surgery on September 6, 2004. The medical team stated ... which disclosed multiple vessel coronary artery disease. He was transferred to Columbia Presbyterian Medical Center in New York ... It was determined he did not suffer a coronary infarction, and he was sent home, returning the following day for angiography, ... Vedantam, Shankar (September 7, 2004). "Clinton's Heart Bypass Surgery Called a Success". The Washington Post. p. A01. ...

*Capital Regional Medical Center

... and began off pump coronary artery bypass surgical treatments. Updating and remodeling construction in 2002 was designed by ...

*Lourdes Heart institute

LHINC provides cardiac surgery in adult patients including coronary artery bypass surgery, both on pump and off pump surgery, ... Other facilities include regular, elective angioplasties, day care angiography, which is done via the artery in the wrist, the ... radial artery which allow the patient to be discharged in a few hours and does not require extended lying down, radial ...

*Intra-aortic balloon pump

Percutaneous coronary angioplasty In high risk coronary artery bypass graft surgery where cardiopulmonary bypass time was ... Intensive Care of The Chinese University of Hong Kong Usage of Intra-Aortic Balloon Pump in High Risk Coronary Artery Bypass ... An IABP was inserted by a cut down on the left femoral artery. Pumping was performed for approximately 6 hours. Shock reversed ... It actively inflates in diastole, increasing blood flow to the coronary arteries via retrograde flow. These actions combine to ...

*Michael G. DeGroote School of Medicine at McMaster University

CORONARY trial which demonstrated non-inferiority of on pump coronary artery bypass grafting to off pump coronary artery bypass ... McMaster published the RIVAL trial which showed the positive benefits of percutaneous coronary intervention through radial ... the first trial to demonstrate the superiority of clopidogrel and aspirin versus aspirin alone in patients with acute coronary ...

*Totally endoscopic coronary artery bypass surgery

... which allows bypass surgery to be conducted off-pump without opening the ribcage. The technique involves three or four small ... Totally Endoscopic Coronary Artery Bypass Surgery (TECAB) is an entirely endoscopic robotic surgery used to treat coronary ... Mishra YK, Wasir H, Sharma KK, Mehta Y, Trehan N (December 2006). "Totally endoscopic coronary artery bypass surgery". Asian ... University of Chicago Medical Center: Totally Endoscopic Coronary Artery Bypass (TECAB) TECAB Procedure at the University of ...

*List of MeSH codes (E04)

... coronary MeSH E04.100.376.719.332 --- coronary artery bypass MeSH E04.100.376.719.332.199 --- coronary artery bypass, off-pump ... coronary MeSH E04.928.220.520.220 --- coronary artery bypass MeSH E04.928.220.520.220.189 --- coronary artery bypass, off-pump ... intra-aortic balloon pumping MeSH E04.050.430 --- heart-assist devices MeSH E04.062.249 --- gastric bypass MeSH E04.062.750 ... internal mammary-coronary artery anastomosis MeSH E04.100.376.730 --- pericardial window techniques MeSH E04.100.376.735 --- ...

*Bivalirudin

1.75 mg/kg/h Coronary Artery Bypass Graft (CABG) -Patients proceeding to CABG surgery off-pump: The IV infusion of bivalirudin ... Patients proceeding to CABG surgery on-pump: The IV infusion of bivalirudin should be continued until 1 hour prior to surgery ... Percutaneous Coronary Intervention (PCI), including patients with ST-segment elevation myocardial infarction (STEMI) undergoing ... is indicated for use as an anticoagulant in patients undergoing percutaneous coronary intervention (PCI). Bivalirudin is ...

*Cardiomegaly

... one may opt to have coronary artery bypass surgery. Left ventricular assist device: (LVAD): This implantable mechanical pump ... Coronary bypass surgery: If an enlarged heart is related to coronary artery disease, ... or coronary artery disease. An enlarged heart may not pump blood effectively, resulting in congestive heart failure. ... Non-lifestyle risk factors include family history of cardiomegaly, coronary artery disease (CAD), congenital heart failure, ...

*Acute decompensated heart failure

... percutaneous coronary intervention, or coronary artery bypass graft. A jugular venous distension is the most sensitive clinical ... Patients with heart pumping problems will use a different medication combination than those who are experiencing problems with ... Different procedures are available depending on the level of necessity and include coronary artery bypass surgery, heart valve ... Bypass surgery is performed by removing a vein from the arm or leg, or an artery from the chest and replacing the blocked ...

*R. Ravi Kumar

Patient had combined robotic mitral valve replacement and coronary artery bypass surgery. India's first Robotic Aortic Valve ... Patient had aortic valve stenosis (shrunk) and regurgitation (leak) with reduced pumping of the heart. He underwent robotic ... Patient had coronary artery disease and severe mitral valve leak. ...

*Atherosclerosis

A number of procedures may also be carried out such as percutaneous coronary intervention, coronary artery bypass graft, or ... ascending aorta has demonstrated reduced rates of postoperative stroke and mortality compared to traditional on-pump coronary ... and angioplasty with or without stenting can reopen narrowed arteries and improve bloodflow. Coronary artery bypass grafting ... it can result in coronary artery disease, stroke, peripheral artery disease, or kidney problems depending on the arteries which ...

*Ventricular assist device

A phase 1 clinical trial is underway (as of August 2009), consisting of patients with coronary artery bypass grafting and ... link) Pulsatile VS Continuous flow pump schematic HeartMate XVE pulsatile pump schematic SynCardia TAH pulsatile pump ... "A Study of Anginera In Patients Undergoing Coronary Artery Bypass Graft (CABG) Surgery". ClinicalTrials.gov. U.S. National ... and continuous flow pumps. Pulsatile VADs use positive displacement pumps. In some pulsatile pumps (that use compressed air as ...

*Oxygenator

For most cardiac operations such as coronary artery bypass grafting, the cardiopulmonary bypass is performed using a heart-lung ... The machine replaces both the heart's pumping action and the lungs' gas exchange function. Since the heart is stopped during ... Cardiac Surgery Cardiothoracic surgery Coronary artery bypass surgery Extracorporeal membrane oxygenation Heart-lung machine ... heparin-coated cardiopulmonary bypass systems combined with full and low dose systemic heparinization in coronary artery bypass ...

*Cardiac catheterization

... see Coronary artery bypass surgery) surgery. Right heart catheterization allows the physician to determine the pressures within ... Interventional cardiologists can also use cardiac catheterization to estimate the cardiac output, the amount of blood pumped by ... It is important to note that the coronary arteries are not accessed during a right heart catheterization. Main page: Coronary ... Subsets of this technique are mainly coronary catheterization, involving the catheterization of the coronary arteries, and ...
This placebo control study investigated the efficacy and safety of ramosetron [Nasea] on corrected QT interval in patients undergoing off pump coronary artery
The intense debate of earlier years between off-pump coronary artery bypass (OPCAB) grafting and conventional coronary artery bypass grafting (CABG) with the use of cardiopulmonary bypass (CPB) has recently given place to a more balanced and targeted approach to surgical coronary revascularisation. Baseline patient characteristics, coronary and aortic pathology and, most importantly, surgeon experience and training are currently the main factors influencing the decision and implementation of OPCAB. In an era where outcomes following CABG are closely monitored and mortality rarely exceeds 3%, the practice of off-pump revascularisation aims at amelioration of morbidity and at achieving equivalent, if not superior, outcomes compared with on-pump CABG. However, a systematic and indepth analysis of the relevant literature highlights an important issue, which is often neglected and could potentially influence decision making in coronary artery surgery: this is intraoperative conversion.1. Institution ...
Introduction: Acute kidney injury (AKI) is a common postoperative complication of cardiac surgery, which is associated with an increased risk of morbidity and mortality. This study investigated the frequency of postoperative AKI in low risk adult patients undergoing off-pump coronary artery bypass grafting (CABG).Materials & Methods: All consecutive adult patients of American Society of Anesthesiologists (ASA) class II and III, who were transferred to the post-operative cardiac surgery ICU after off-pump CABG and were low risk for AKI from October 2013 to September 2014 at Emam Reza Hospital, Mashhad, Iran were enrolled in this prospective cohort study at a teaching hospital. The patients were explored for AKI development, based on risk-injury-failure-loss- end stage kidney disease (RIFLE) and acute kidney injury network (AKIN) criteria, frequency of metabolic acidosis, hypernatremia, hyperchloremia, and length of stay in ICU.Results: According to the results of the present study, 479 patients with the
BACKGROUND: Neurocognitive dysfunction remains a limitation of cardiac surgery with cardiopulmonary bypass. Intraoperative cerebral microembolization is believed to be one of the most important etiologic factors. Using a new generation of transcranial Doppler ultrasonography, we compared the number and nature of intraoperative microemboli in patients undergoing on-pump and off-pump cardiac surgery procedures. METHODS: Bilateral continuous transcranial Doppler monitoring of the middle cerebral arteries was performed in 45 patients (15 off-pump coronary artery bypass grafting, 15 on-pump coronary artery bypass grafting, and 15 open cardiac procedures). All recordings were performed using a multi-range, multifrequency system to allow both measurement of the number and discrimination of the nature of microemboli in the 3 different groups. RESULTS: The median number (interquartile range) of microemboli in the off-pump coronary artery bypass grafting, on-pump coronary artery bypass grafting, and open
OBJECTIVES: Acute kidney injury (AKI) is one of the most frequently occurring complications after off-pump coronary artery bypass graft (OPCAB). Hyperglycaemia is a major, potentially modifiable risk factor of adverse outcome after cardiac surgery known to aggravate organ damage. The aim of this study was to address the association between intraoperative glucose concentration and postoperative AKI in patients who underwent OPCAB. METHODS: The medical records of 880 consecutive patients were retrospectively reviewed. Patients were divided into three groups according to the time-weighted average of intraoperative glucose concentrations (,110, 110-150 and ,150 mg/dl), and the incidence of AKI (increase of serum creatinine to ,2.0 mg/dl and 2 × most recent preoperative value or a new requirement for dialysis) was compared. Multivariate logistic regression analysis was performed to identify independent risk factors for postoperative AKI. RESULTS: The incidence of AKI was higher in patients with a ...
Dr Eugene Sim is a Cardiothoracic Surgeon practicing at Mount Elizabeth Hospital and Gleneagles Hospital, Singapore. He has performed more than 3000 cases of open heart surgery. Dr Eugene Sim is renowned for his pioneering work in cardiac surgery.. In Nov 1995, Dr Eugene Sim was one of the first surgeons in Asia to perform minimally invasive direct coronary artery bypass grafting and has performed more than 100 such procedures to date. He was also the first surgeon in Asia to perform off-pump coronary artery bypass grafting using the Octopus stabilizer and has conducted many training courses to train surgeons in the use of this new technique.. He was one of the first surgeons in the region to perform thoracoscopic ligation of a patent ductus arteriosus in Dec 1995, Thoracoscopic anterior release for scoliosis in January 1996, thoracoscopic thymectomy in 1997, multivessel off pump coronary artery bypass grafting in July 1997 and robotic assisted coronary artery bypass surgery in April 2000. Dr ...
The initial application of off-pump coronary artery bypass in the early nineties was mainly directed to highly selected and relatively low risk surgical patients. Since then there has been a growing body of evidence suggesting many potential advantages of the OPCAB technique over the conventional cardiopulmonary bypass (CPB) technique in different groups of high-risk patients.. On-off study is a multicentre, prospective, randomized, parallel, trial.Patients indicated for elective or urgent isolated coronary artery bypass graft with additive European System for Cardiac Operative Risk Evaluation ≥ 6 were enrolled. Patients in cardiogenic shock were excluded. Patients were randomly assigned either to coronary artery bypass surgery with cardiopulmonary bypass (ON arm) or to off-pump coronary artery bypass graft (OFF arm). The composite primary end point included operative mortality, myocardial infarction, stroke, renal failure, re-operation for bleeding and adult respiratory distress syndrome, ...
Off-pump Coronary Artery Bypass,Medical Illustration database of the best portfolios and stock images now features General and Commercial Illustration and illustrators. 8,000+ image database includes all types of subjects and features the largest directory of medical, science, and nature illustrators and illustration on the web.
Background: Benefits of off-pump CABG (OPCAB) compared with conventional on-pump CABG (CCAB) still has been controversial. However, it is important to investigate which patient subgroups may benefit more from OPCAB rather than CCAB.. Methods and Results: Among the patients undergoing first PCI or CABG enrolled in the CREDO-Kyoto Registry (a registry of first-time PCI and CABG patients in Japan), 2468 patients undergoing CABG were entered into the study (67 ± 9 y.o.). Predicted risk of operative mortality (PROM) of each patient was calculated by logistic EuroSCORE. Patients were divided into tertile based on their PROM. Mortality rates and the incidences of cardiovascular events were compared between CCAB and OPCAB within each PROM tertile using propensity-score analysis. (Table) A total of 1376 patients received CCAB and 1092 did OPCAB. Observed 30-day mortality in whole population was similar between CCAB and OPCAB (odds ratio [95% confidence interval]: 1.18 [0.93-1.51], p=0.17). Observed ...
Recovery slope is a marker of microcirculation. The tissue oxygen saturation (StO2) using InspectraTM StO2 (Hutchinson Technology Inc.,USA) will be recorded continuously. The InspectraTM StO2 probe will be placed on the skin of the thenar eminence and the blood pressure cuff will be wrapped around the arm. After performing vascular occlusion test, the recovery slope will be calculated by the software ...
BACKGROUND: Preoperative creatinine values higher than 2.5 mg/dL are associated with markedly increased risk for both mortality and morbidity in patients undergoing coronary artery bypass surgery. We aimed to determine the effects of prophylactic per
Teresa Kieser 1, M Sarah Rose1, Mouhieddin Traboulsi2, Kishan Narine1. 1University of Calgary, Calgary, AB Canada, 2Llibin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB Canada.. Objective: Off-pump coronary artery bypass graft (CABG) surgery and total arterial grafting (TAG) are not commonly coincident. This study compares the early safety and efficacy of total arterial CABG in off- and on-pump surgery.. Methods: A prospective cohort of all consecutive CABG-only patients from 2003-2012 was analyzed to compare short-term outcomes of off-pump with on-pump patients.. Results: From July 2003 to March 2012, 937 patients underwent CABG with 98% arterial grafts (2727/2782). From April 2008 onward, 79% (322/408) of CABG was performed off-pump. Prior to this only 6% (31/529) of CABG was done off-pump and was mainly for single-vessel disease or ascending aortic calcification. For off-pump/on-pump respectively TAG was performed in 94% (333/353)/96% (561/584) patients and 98% ...
Off-pump coronary artery bypass grafting is better than on-pump in patients with STEMI underwent surgery within 2 days from onset of symptoms. Surgeons may be reluctant to use OPCAB due to concerns about completeness of myocardial revascularization and graft patency. The aim of this study was to assess long-term clinical outcomes and graft patency in this kind of patients. Participants in two previous randomized studies performed in our institution including 207 STEMI patients underwent emergent or urgent CABG within 48 hours from onset of symptoms were followed after surgery to assess graft patency and major adverse cardiac-related events (MACE). There were 145 patients operated in on-pump and 62 patients in off-pump. Patency was assessed by multidetector computed tomography coronary angiography (MDCTA) with a 64-slice scanner. Two blinded observers classified proximal, body and distal segments of each graft as occluded or not, or grade of stenosis. Clinical follow-up was obtained by our ...
Fifty-nine trials were included, encompassing 8,961 patients, with a mean age of 63.4 and 16% females. There was a significant 30% reduction in the occurrence of postoperative stroke with OPCAB (risk ratio [RR], 0.70; 95% confidence interval [CI], 0.49-0.99). There was no significant difference in mortality (RR, 0.90; 95% CI, 0.63-1.30) or myocardial infarction (pooled RR, 0.89; 95% CI, 0.69-1.13). In the meta-regression analysis, the effect of OPCAB on all of the clinical outcomes was similar regardless of mean age, proportion of females in the trial, number of grafts per patient, and trial publication date.. ...
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Sternal wound complications (SWC) are a rare but potentially life-threatening complication after coronary artery bypass grafting (CABG) surgery. Especially the use of bilateral IMA (BIMA) grafts as opposed to single IMA (SIMA) grafts is associated with an increased risk of SWC. Skeletonised harvesting has been proposed to reduce this risk. The purpose of this study was to retrospectively investigate the effect of skeletonisation on SWC after off-pump coronary artery bypass grafting (OPCAB) in a centre with a high volume of off-pump procedures and high frequencies of BIMA. From January 2010 to November 2016, 1900 consecutive patients underwent OPCAB surgery at the University Hospitals of Leuven. The first group (n = 1487) received non-skeletonised IMA grafts, whereas the second group (n = 413) received skeletonised grafts. Optimal wound management was pursued in all patients. A new four-grade classification for SWC was developed. Incidence and grade of SWC as well as overall survival were assessed.
Sternal wound complications (SWC) are a rare but potentially life-threatening complication after coronary artery bypass grafting (CABG) surgery. Especially the use of bilateral IMA (BIMA) grafts as opposed to single IMA (SIMA) grafts is associated with an increased risk of SWC. Skeletonised harvesting has been proposed to reduce this risk. The purpose of this study was to retrospectively investigate the effect of skeletonisation on SWC after off-pump coronary artery bypass grafting (OPCAB) in a centre with a high volume of off-pump procedures and high frequencies of BIMA. From January 2010 to November 2016, 1900 consecutive patients underwent OPCAB surgery at the University Hospitals of Leuven. The first group (n = 1487) received non-skeletonised IMA grafts, whereas the second group (n = 413) received skeletonised grafts. Optimal wound management was pursued in all patients. A new four-grade classification for SWC was developed. Incidence and grade of SWC as well as overall survival were assessed.
a Cochrane review concluded that BIS within 40 to 60 may improve anaesthetic delivery and postoperative recovery from relatively deep anaesthesia, and more important that BIS-guided anaesthesia significantly reduces the incidence of intraoperative recall in surgical patients with high risk of awareness (ex. TIVA) [Punjasawadwong et al. Cochrane Database Syst Rev. 4: CD003843, 2007]. The largest study in Cochrane was Myles et al. (2463 patients), the second-largest was only 268 patients. Cochrane did not review Avidan (see below), which was published later.. Myles et al. conducted a randomized, double blind trial of 2463 "high risk" patients (caesarean section, high-risk cardiac surgery [EF ,30%, cardiac index ,2·1 L/min per m2, severe aortic stenosis, pulmonary hypertension, or undergoing off-pump coronary artery bypass graft surgery], acute trauma with hypovolaemia, rigid bronchoscopy, significant impairment of cardiovascular status and expected intraoperative hypotension requiring treatment, ...
OBJECTIVE:Effective antiplatelet therapy may decrease the risk of complications following off-pump coronary artery bypass surgery (CABG). We prospectively evaluated the safety and early efficacy of a combined regimen of clopidogrel and aspirin starting immediately after off-pump CABG. METHODS: One hundred thirty-five consecutive off-pump CABG patients received clopidogrel (75 mg/day) and ...
Coronary artery bypass grafting (CABG) using in situ skeletonized arterial conduits with an off-pump technique is a high quality and minimally invasive procedure. The internal thoracic artery (ITA) is the most reliable conduit as grafting the left anterior descending artery and circumflex arteries with bilateral ITAs leads to better long-term patient outcomes. In this study, we demonstrated the feasibility and usefulness of off-pump coronary artery bypass grafting surgery using bilateral ITAs. A total of 217 consecutive CABG cases using skeletonized ITA grafts were studied and they were divided into 2 groups are using unilateral ITA (UITA, n 104) and the other using bilateral ITA (BITA, n 113). OPCAB was completed in 94% (98/104) in the UITA group and in 99% (112/113) in the BITA group. The mean number of distal anastomoses per patient was 3.02 in the UITA group and 3.63 in the BITA group. The ITAs were used in situ in 100% (104 ITAs) in the UITA group and in 96% (217 ITAs) in the BITA group. ...
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Patients assigned to off-pump coronary artery bypass grafting (CABG) have a lower risk of acute kidney injury (AKI) but no reduction in the rate of reduced kidney function 1 year later, reports a study in the Journal of the American Medical Association.
Over time, off-pump bypass surgery grafts may fail. This eMedTV resource discusses graft failure and off-pump bypass surgery, including how long grafts typically last and tips that can help delay graft failure after surgery.
AIMS: The benefits of off-pump coronary artery bypass (OPCAB) continue to be debated, in part due to the fact that pooled effects fail to consider differences in trial and patient characteristics. We sought to analyse the contemporary evidence for OPCAB vs. conventional coronary artery bypass (CCAB), incorporating recent larger trials, and adjusting for differences in trials using a technique known as meta-regression. METHODS AND RESULTS: We systematically reviewed MEDLINE, EMBASE, and the Cochrane database for published and unpublished randomized trials of OPCAB vs ...
Off pump vs on pump CABG. On pump CABG is the conventional method in which heart is arrested using potassium rich cardioplegia solution and the heart lung machine takes over the circulatory and gas exchange functions of the body. In off pump CABG, heart is fixed using suction devices and it continues to beat while bypass grafting is done. But the procedure is technically more demanding for surgical skill and potential risk of incomplete revascularization may occur. The theoretical advantages of off pump CABG are the reduction of systemic inflammatory state related to cardiopulmonary bypass, microemboli, increased permeability of blood brain barrier and aortic manipulation during cross clamping and cannulation. In spite of these theoretical advantages, one study showed that number of off pump CABG in United States declined from a peak level of 23% 2002 to 17% in 2012 [1]. According to that report, a minority of surgeons and centres do perform off pump CABG in most of their patients. In a comment ...
Click the title to purchase the article.. Background:. "Cardiac surgery often causes ischemia and development of a systemic inflammatory response syndrome, which impairs vascular barrier function, normally maintained by the endothelial cell line and the endothelial glycocalyx (EG). The EG normally covers and protects healthy endothelial cells throughout the vasculature. The aim of the present study was to assess the disruption of the cellular part of the microvascular barrier by determining parameters of endothelial cell activation known to influence and reflect cell-cell junctional integrity. Particular attention was placed on angiopoietins and their important effects on endothelial gap junctions. Furthermore, comparative measurements were undertaken in patients undergoing on- and off-pump cardiac surgery, the latter group presumably experiencing less ischemic stress."1. ...
Hybrid coronary revascularization is a planned combination of minimally invasive, off-pump coronary artery bypass grafting and percutaneous coronary intervention employed together to treat patients...
Off-pump coronary artery bypass grafting provides complete revascularization with reduced myocardial injury,transfusion requirements, and length of stay: a single blind ...
Off-pump coronary artery bypass grafting provides complete revascularization with reduced myocardial injury,transfusion requirements, and length of stay: a single blind ...
A hybrid procedure combining off-pump CABG and transaortic TAVR appears feasible as a treatment approach for select patients with complex coronary disease and severe aortic stenosis, a small case series suggests.. Over a 10-month period, operators performed the hybrid procedure in four men, all of whom had uneventful recoveries and remained complication-free through 6 months, Imthiaz Manoly, FRCS (C-Th) (Central Manchester University Hospitals Foundation Trust, England), and colleagues report in a study published online July 12, 2016, ahead of print in Catheterization and Cardiovascular Interventions. One patient died of a noncardiac cause (community-acquired pneumonia) at 8 months.. The remaining three patients-and another two not included in the paper-are currently doing well, Manoly told TCTMD.. "For patients who are deemed high risk just because of the technical challenge or a few comorbid factors, we should definitely consider transaortic TAVI and off-pump CABG," he said, noting that not ...
Lewes, DE -- 12/29/2017 -- CPB is also used in heart valve replacement and repair procedures, repair of septal and congenital heart defects and transplants. However, for the purposes of this report, this chapter analyzes the use of CPB specifically in ONCAB procedures. During an ONCAB procedure, the patients heart is stopped temporarily while surgeons…
Karbing DS, Kjærgaard S, Andreassen S, Espersen K, Rees SE. Minimal model quantification of pulmonary gas exchanges in intensive care patients. Med Eng Phys. 2011 Mar;33(2):240-8.. S.E Rees, S Kjærgaard, S Andreassen, G. Hedenstierna. Reproduction of inert gas and oxygenation data - a comparison of the MIGET and a simple model of pulmonary gas exchange. Intensive Care Medicine 2010, 36:2117-2124.. D.S Karbing, S Kjaergaard, B.W Smith, K Espersen, C Allerod, S Andreassen, S.E Rees. Variation in the PaO2/FiO2 ratio with FiO2: Mathematical and experimental description, and clinical relevance. Critical Care. 2007 ; Vol. 11, No. 6.. B.S Rasmussen, H Laugesen, J Sollid, J Grønlund, S.E Rees, E Toft, J Gjedsted, C Dethlefsen, E Tønnesen. Oxygenation and release of inflammatory mediators after off-pump compared to after on-pump coronary artery bypass surgery. Acta Anaesthesiologica Scandinavica, 2007, 51(9):1202-10.. S.E Rees, S Kjærgaard, S Andreassen, G. Hedenstierna. Reproduction of MIGET ...
BACKGROUND: There is a concern that revascularization using bilateral internal thoracic arteries (ITA) as a composite graft may not supply sufficient blood flow to a wider area of myocardium when compared with grafting using bilateral in situ ITAs. METHODS: One-hundred three patients who underwent off-pump coronary artery bypass using bilateral ITAs for revascularization of the left coronary system were studied prospectively. Bilateral ITAs were used as in situ grafts in 49 patients (group 1) and as a Y-composite graft in 54 patients (group 2). Resting and stress myocardial single-photon emission computed tomography (SPECT) was performed preoperatively and 3 months postoperatively. Myocardial perfusion was automatically quantified and expressed as a percentage of the maximal uptake. The left coronary territory was divided into 16 segments. A total of 379 segments (154 segments in group 1; 225 segments in group 2) that indicated decreased stress perfusion preoperatively were included in this ...
A sensitive and robust LC-MS/MS method was developed to quantify basal adenosine concentrations in human plasma of patients undergoing on-pump coronary artery bypass grafting (CABG) surgery. A strong cation exchange (SCX) monolithic cartridge was used to enrich analyte, improve robustness, and reduce biological complexity. A simple modifier-free mobile phase was employed to improve sensitivity and reproducibility. This method exhibits consistent precision and accuracy, and the RSDs or REs of all the intraday and interday determinations were within 10%. The calibration curve was linear across the examined dynamic range from 1nM to 500nM (r(2)=0.996). LOD and LOQ were determined to be 0.257nM and 0.857nM respectively, while LLOQ was below 10nM. This method was used to monitor changes of adenosine levels in patient plasma drawn intraoperatively during on-pump CABG surgery. The analysis of 84 patients revealed that the mean concentration of adenosine in coronary sinus plasma after cardiopulmonary ...
Nausea, vomiting, and minor bleeding are some of the common complications of off-pump bypass surgery. This eMedTV Web page takes a closer look at other complications that can occur and includes a link to more detailed information.
UC San Diego Health physicians and researchers are on the front lines of fighting heart and vascular diseases - at the patients bedsides, in the research lab, and in our community. The technologies, techniques and treatments we develop are setting standards in DestinationCare cardiac and stroke care. Our heart center optimizes both inpatient and outpatient cardiovascular care in a supportive environment attuned to your individual needs and situation.. UC San Diego Health was the regions first comprehensive heart center and one of the nations first comprehensive stroke centers. We remains a premier destination for managing and treating cardiovascular disease and caring for all types of stroke patients. With expertise in cardiology, cardiothoracic surgery, neurology, cardiac imaging, vascular surgery and numerous other specialties, we are able to provide services available only at the top health systems, such as off-pump coronary artery bypass (OPCAB) and minimally invasive valve replacements. ...
Thus, let-7 family miRNA may potentially provide novel targets for the sildenafil citrate 100mg pills development of therapeutic strategies against OS. A 54-year-old woman presented with acute pulmonary edema with intractable hypertension and a history of lower limb claudication. Type I and type II interferons upregulate functional type I interleukin-1 receptor in a human fibroblast cell line TIG-1. We found significant racial susceptibility to drug-induced QT prolongation in this large urban study of acute overdoses. Our results indicate that administration of carprofen prior to surgery was effective in improving peri-operative analgesia in dogs undergoing TPLO.. The fundamental mechanism proposed to explain surface-enhanced Raman scattering (SERS) relies on electromagnetic field enhancement at optical frequencies. Cross-validation of this model with other TBI populations is recommended. Single transpulmonary thermodilution in off-pump coronary artery bypass sildenafil citrate 100mg tab ...
CHICAGOPatients who underwent either on-pump or off-pump CABG surgery had similar outcomes at 30 days, according to a late breaking clinical trial presented March 26 at the American College of Cardiologys 61st scientific session. But with either procedure, operator experience was critical to success, and the results didnt rule out potential differences in long-term outcomes, said Andre Lamy, MD, of the Population Health Research Institute at McMaster University in Hamilton, Canada.
... regularly. I post this paper just in case anybody needs to use it as an argument supporting the vascular treatment of MS patients. Off-pump coronary surgery in a patient with multiple sclerosis. ...
by Physicians Weekly , Aug 2, 2012. Although the mortality rate associated with CABG has been declining, research suggests that patients who undergo these procedures are increasingly older and sicker. Risk factors for complications after CABG are high, and adverse neurologic outcomes (eg, stroke and cognitive decline) remain a major concern. Efforts to reduce post-CABG-related neurologic events have been hindered by an incomplete understanding of the pathophysiology of these events. One of the justifications for developing off-pump CABG was the hope that rates of embolization, and therefore stroke, would be lower than those experienced with on-pump surgery. However, a number of large prospective ran-domized trials have failed to show a significant difference in rates of post-surgical stroke between on- and off-pump bypass. In light of these findings, strategies to reduce the incidence of adverse post-CABG neurologic and cognitive outcomes should focus more on patient-related risk factors rather ...
by Physicians Weekly , Aug 2, 2012. Although the mortality rate associated with CABG has been declining, research suggests that patients who undergo these procedures are increasingly older and sicker. Risk factors for complications after CABG are high, and adverse neurologic outcomes (eg, stroke and cognitive decline) remain a major concern. Efforts to reduce post-CABG-related neurologic events have been hindered by an incomplete understanding of the pathophysiology of these events. One of the justifications for developing off-pump CABG was the hope that rates of embolization, and therefore stroke, would be lower than those experienced with on-pump surgery. However, a number of large prospective ran-domized trials have failed to show a significant difference in rates of post-surgical stroke between on- and off-pump bypass. In light of these findings, strategies to reduce the incidence of adverse post-CABG neurologic and cognitive outcomes should focus more on patient-related risk factors rather ...
34)高度低左心機能・重症多枝病変に対し有茎三本動脈グラフトによるoff-pump CABG(OPCAB)を施行した一治験例 (2003 ...
Some of the issues to be considered in the evaluation of OPCAB are Safety, Cost, Adequacy of revascularisation, patency of the grafts and long-term outcome. There is a surfeit of reports in current literature about OPCAB and the above issues will be answered by gleaning at a few of them. Most of these reports are retrospective non-randomised observational studies. The findings in the earlier phase of this operation are not comparable to the situation at present because OPCAB performed in the beginning of this era is a totally different operation compared to what is practised at present. The state of the art stabilisers have made this operation very much easier, safer and reproducible by any surgeon with average skills. So I will restrict this analysis of papers to those published in the last 4 years.. Iaco from the Calafiore group in Italy46 reported in 1999 their experience comparing 472 cases off-pump with 290 on-pump cases and concluded that there was no difference in primary endpoints ...
There were in fact at least a couple studies done comparing MDI to , pumps in this way. I will try to look them up the the journals for a , reference but Im pulling this from memory. , , The findings showed that on a fairly intensive MDI program compared , to pump with carb counting in both cases that there was a negligible , difference, almost zero really difference between the 2 methods. , This specifically looked at blood glucose values and the ranges that , they would hit as well as the A1c values. On average (excluding , exceptionally good and bad pumpers as well as MDI patients) the , majority exhibited highly comparable numbers in both sampled BG , values as well as A1c. , The newer studies, particularly those in kids, show a divergence of values after a while. Strict compliance is very difficult to achieve with MDI. Not only is is very hard on the individual, but in many cases it is simply not practical to be compliant on MDI and live, work, and have a family (or life if youre a kid). ...
Een kransslagaderbypasstransplantatie is een veel voorkomende operatie, waarbij de bloedsomloop via een omweg langs een geblokkeerde kransslagader wor...
Murali P. Vettath*, Kannan A. Vellachamy, Nitin Ganagadharan, Madhu Ravisankar, Smera Koroth and Gopalakrishnan Raman Department of CVTS, Meitra Hospital, Kozhikode, Kerala, ...
OPCAB (off pump coronary artery bypass) has become a preferred technique of coronary revascularization in India, and more so in the East. This technique was restarted by Buffalo and Bennetti who had published their results in 1985. Since then, there has been a great enthusiasm among coronary surgeons to develop and standardize this technique of CABG (coronary artery bypass grafting). In the late nineties, nearly all the coronary centers in India started performing this technique. But, by the early 2000, only a few surgeons continued this practice. Only those who could perform this OPCAB technique in nearly 100% of their patients continued this and the rest of them returned back to the conventional on pump CABG. To attain this result, we had to re-engineer our technique of anesthesia, surgical technique, stabilization, and positioning of the heart to enable us to perform OPCAB in all patients who needed CABG. We have analyzed our last 3000 patients operated by the same surgeon (Dr MPV), in the same
Authors: Eun-Ho Lee, M.D. et al. Anesthesiology 5 2016, Vol.124, 1001-1011. Background: Hypoalbuminemia may increase the risk of acute kidney injury (AKI). The authors investigated whether the immediate preoperative administration of 20% albumin solution affects the incidence of AKI after off-pump coronary artery bypass surgery.. Methods: In this prospective, single-center, randomized, parallel-arm double-blind trial, 220 patients with preoperative serum albumin levels less than 4.0 g/dl were administered 100, 200, or 300 ml of 20% human albumin according to the preoperative serum albumin level (3.5 to 3.9, 3.0 to 3.4, or less than 3.0 g/dl, respectively) or with an equal volume of saline before surgery. The primary outcome measure was AKI incidence after surgery. Postoperative AKI was defined by maximal AKI Network criteria based on creatinine changes.. Results: Patient characteristics and perioperative data except urine output during surgery were similar between the two groups studied, the ...
INTRODUCTION: Open Heart Surgery (OHS) is not commonly practiced in Nigeria and most patients who require OHS are referred abroad. There has recently been a resurgence of interest in establishing OHS services in Nigeria but the cost is unknown. The aim of this study was to determine the direct cost of OHS procedures in Nigeria. METHODS: The study was performed prospectively from November to December 2011. Three concurrent operations were selected as being representative of the scope of surgery offered at our institution. These procedures were Atrial Septal Defect (ASD) Repair, Off Pump Coronary Artery Bypass Grafting (OPCAB) and Mitral Valve Replacement (MVR). Cost categories contributing to direct costs of OHS (Investigations, Drugs, Perfusion, Theatre, Intensive Care, Honorarium and Hospital Stay) were tracked to determine the total direct cost for the 3 selected OHS procedures. RESULTS: ASD repair cost $ 6,230 (Drugs $600, Intensive Care $410, Investigations $955, Perfusion $1080, Theatre $1360,
Off-pump CABG eliminates the need to insert a tube called a cannula into the aorta, to cross-clamp the aorta, connect the patient to the heart-lung machine, and stop and restart the heart, suggesting that patients would do better with this approach. However, small randomized clinical trials and meta-analyses have not been able to determine conclusively whether one CABG technique has better outcomes than the other. The CORONARY trial, conducted at 79 centers in 19 countries, compared the risks and benefits of off-pump and on-pump bypass in the largest patient population studied to date. While the CORONARY trial was recruiting patients, data from the ROOBY (Randomized On/Off Bypass) trial were published showing poor results for off-pump bypass ...
Coronary artery disease (CAD) was evaluated by noninvasive examination in abdominal aortic aneurysm (AAA) patients. A simultaneous operation or a 2-staged operation was performed depending on the seriousness of the condition when both diseases were combined. A total of 36 patients underwent elective repair of AAA between 1996 and 2001. Coronary angiography (CAG) was performed only in patients with suspected CAD by dipyridamole myocardial scintigraphy. Significant CAD was found in 8 patients. Simultaneous operation was performed in 4 patients, and off-pump coronary artery bypass grafting (OPCAB) was performed in all cases of simultaneous operation. In 4 patients receiving 2-staged operations, 1 standard coronary artery bypass grafting (CABG), 1 OPCAB and 2 percutaneous transluminal coronary angioplasties (PTCA) were performed prior to AAA surgery. Twenty-eight patients underwent only AAA operation. Though there were no incidents of perioperative myocardial infarction or cardiac related deaths in ...
Background: The elderly population (age ,70 years) incurs greater mortality and morbidity following CABG. OPCAB may mitigate these otucomes. A retrospective analysis of the results of OPCAB in this population was performed. Methods: We reviewed the Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) database for elderly patients (n=12697) undergoing isolated CABG surgery and compared the ONCAB (n=11676) with OPCAB (n=1021) technique. Preoperative and intraoperative risk factors, and postoperative outcomes were analysed. Survival analyses was performed after cross-matching the database with the national death registry to identify long-term mortality. Results: High-risk patients were more prevalent in the ONCAB group (p,0.05). OPCAB patients received fewer distal anastomoses than ONCAB patients (2.4±1.1 vs 3.3±1.0, p,0.001). Thirty-day mortality and stroke rates between OPCAB and ONCAB were not significantly different (2% vs 2.5% and 1.1% vs 1.8%, respectively). There ...
The ethics committee of Copenhagen County approved the study, and all patients gave written informed consent.. Twenty-five patients without heart valve pathology and in sinus rhythm, scheduled for adult cardiac surgery [coronary artery bypass grafting (CABG) or off-pump coronary artery bypass (OPCAB)], were included in the study. The patients were anaesthesized with induction doses of fentanyl 5-10 μg/kg, midazolam 2-5 mg and pancuronium 0.1 mg/kg, and anaesthesia was continued with enflurane 0.8-1.2% or sevoflurane 1-2% inspired in oxygen. During extracorporeal circulation, anaesthesia was maintained with propofol 200-300 mg/h. All patients were normothermic and normoventilated (PaCO2 between 4.5 and 6.0 kPa) during the study.. A 7.5F PA-TD catheter (Paceport®, Edwards, Copenhagen, Denmark) was inserted via an internal or external jugular vein and advanced until a typical pulmonary artery pressure contour, measured from the tip of the catheter, was evident. The PA-TD cardiac output was ...
Define coronary artery bypass. coronary artery bypass synonyms, coronary artery bypass pronunciation, coronary artery bypass translation, English dictionary definition of coronary artery bypass. Surgery to create an alternative route of blood flow to the heart
There are limitations to the conclusions that can be drawn from this study. Firstly, the comparisons we have made here are not an attempt to estimate either the effectiveness of coronary artery bypass surgery, or the relative balance of benefits and risks associated with early intervention for particular patients. There is clear evidence from randomised controlled trials that an initial strategy of coronary artery bypass surgery is associated, in the long term, with reduced mortality rates in patients with significant left main-stem stenosis, three vessel disease and proximal left anterior descending artery disease.2 However, it should be remembered that, on average, coronary artery bypass surgery prolongs life by only 4.26 months.2 Secondly, the six month postoperative period analysed here accentuates mortality risk associated with the procedure itself; for people who would benefit prognostically from surgery, the total risk faced is the sum of the risk while waiting plus the postoperative ...
DISCUSSION. CABG has become the gold standard for the treatment of coronary artery disease involving multiple vessels, and it consists of on-pump CABG and off-pump CABG. In the early 1980s, two surgeons published their extensive series of off-pump CABG in patients who received grafts in the LAD and the main RCA, but with more limited and difficult grafting of coronary arteries on the posterior and lateral walls[15,16]. On-pump CABG provides a motionless operative field, but it can be associated with a number of complications, such as myocardial ischemic injury, strokes, coagulation, and inflammatory responses[17,18]. To the present, it has been reported that the advantage of sequential coronary artery bypass technology is that it can save grafts, reduce proximal anastomosis, shorten the operation time, provide a more complete vascularization, and have a satisfactory long-term patency rate[19,20]. It is more accurate to determine the direction and length of the bridge between anastomoses. There ...
Off-pump CABG is a type of open heart surgery or "beating heart surgery. This form of surgery is a type of coronary artery bypass graft which is done for coronary heart disease. Off-pump CABG does not require a cardiopulmonary bypass, which means that the heart will continue to beat with a heart-lumg machine.. Due to advanced technology, the surgeon can stop only a part of the heart during off-pump bypass. There are many procedures of coronary heart disease that is done off-pump to help patients with other sickly conditions such as liver cirrhosis, aortic calcification, poor renal function, compromised pulmonary system. This procedure helps to reduce the complications and risks associated with the condition. Remember, off-pump surgery evades any kin d of side effects post surgery.. ...
This 3D medical animation shows a coronary artery bypass graft (CABG) procedure used to combat coronary artery disease. Beginning with a midline sternal incision, the heart is connected to a perfusion machine which will take over the duties of the heart while the surgery takes place. Two different grafts are used to bypass the blocked coronary arteries: the internal thoracic artery from inside the chest wall, and the saphenous vein from the leg. After the procedure, the heart is shocked to restart its beating. A drainage tube is left at the incision site to drain away excess fluid. The animation continues to show two other types of approaches to a coronary artery bypass graft, off-pump bypass surgery and minimally invasive bypass surgery.
Heart Port Surgery include minimally invasive direct coronary artery bypass, Off-pump coronary artery bypass, valve repair and Lead placement.
coronary artery bypass surgery,coronary artery bypass surgery India,coronary bypass surgery,coronary artery blockage surgery-information provided by www.dheerajbojwani.com
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Coronary artery bypass grafting (CABG) Coronary artery bypass grafting (CABG) is a form of surgery utilized to treat and take care of
Heart, Blood and Circulatory System - Coronary Artery Bypass Grafting Support Group - Coronary artery bypass grafting or CABG is an open-heart procedure to relieve the blockages of the arteries of the heart.
View details of top coronary artery bypass grafting hospitals in Bangalore. Get guidance from medical experts to select best coronary artery bypass grafting hospital in Bangalore
Coronary artery bypass surgery.: Coronary artery bypass surgery has taken many strides to become the effective intervention it is today. Although it has been th
Researchers said that in comparison to coronary artery bypass patients who have normal weight, patients with extreme obesity were thrice more vulnerable to develop an infection post-bypass surgery. Through the coronary artery bypass surgery, blood flow is redirected to the heart surrounding clogged heart arteries.. The studys senior author, Mary Forhan, Ph.D., assistant professor at the University of Alberta in Edmonton, Canada, said, "Based on the results of this study it appears that addressing infection risk might be an effective strategy to decrease the length-of-stay for patients with obesity who undergo coronary artery bypass surgery".. The study used a Canadian database of heart patients, and analyzed how a racially and ethnically varied group of 7,560 patients fared following a bypass surgery in Edmonton in the years April 2003 to March 2014.. The division of the patients was done as per their body mass index into five different groups, including normal weight with BMI 18.5-24.9; ...
This weeks View focuses on several recent papers having to do with cardiac surgery, specifically a 5-year trial comparing off-pump and on-pump coronary artery bypass graft surgery (CABG), outcomes of transcatheter mitral valve replacement in patients with failed mitral bioprosthetic valves and annuloplasty rings, and a study on the use of levosimendan in patients undergoing CABG to prevent low cardiac output syndromes.
64-Slice CT Scanners Hold Tremendous Promise. Docs finding angiography a money spinner. Can we perform coronary artery bypass grafting on the basis of computed tomographic angiography alone? A comparison with conventional coronary angiography Harinder Singh Bedi. What is a Prenatal 3d / 4d Ultrasound Imaging?. Ludhiana Jagran. 430 patients examined at free medical camp on ht live. Didar Hospital and Heart Beat Diagnostics Gill road had organized a free medical camp in Gurdwara Alamgir Sahib on 11-12-11. . Didar Hospital and Heart Beat Diagnostics Gill road had organized a free medical camp in Gurdwara RERU SAHIB, Barota Road on 29-12-11. World Heart Day Camp. WORLD HEART DAY. Angiography camp. CVD can effect people of all ages and population .
Gašparović, Hrvoje and Kopjar, Tomislav and Radoš, Milan and Antičević, Alan and Radoš, Marko and Malojčić, Branko and Ivančan, Višnja and Fabijanić, Tea and Čikeš, Maja and Miličić, Davor and Gašparović, Vladimir and Biočina, Bojan (2014) Impact of remote ischemic preconditioning preceding coronary artery bypass grafting on inducing neuroprotection (RIPCAGE): study protocol for a randomized controlled trial. Trials, 15 (1). p. 414. ISSN 1745-6215 ...
Heart Care For You aim of providing comprehensive cardiac care solutions to the patients for Angioplasty Surgery, Bypass surgery, Cardiac surgery, Valve Surgery, Coronary Artery Bypass Surgery.
Objective: To determine whether the introduction of a pre-printed Intensive Care Unit (ICU) drug chart after coronary artery bypass graft surgery (CABG) surgery was associated with an improvement in the rates of prescription of secondary prevention medicines at hospital discharge ...
Coronary artery bypass grafting (CABG) is one of the most well-known and commonly-used open heart surgery procedures. A vein from the leg or an artery from the
BOSTON, MA - The September Harvard Heart Letter tries to make sense of what the American Heart Association calls one of the most hotly debated and polarizing…
OBJECTIVE: To describe mortality, mode of death, risk indicators for death and symptoms of angina pectoris among survivors during 5 years after coronary artery bypass grafting (CABG) among patients with and without a history of diabetes mellitus. METHODS: All patients in western Sweden who underwent CABG without concomitant valve surgery and who had no previous CABG between June 1988 and June 1991 were entered prospectively in this study. After 5 years, information on deaths that had occurred was obtained for the analysis. RESULTS: In all, 1998 patients were included in the analysis; 242 (12%) had a history of diabetes. Among the non-diabetic patients, 5-year mortality was 12.5%; the corresponding relative risk for diabetic patients was 2.1 (95% confidence interval 1.6 to 2.9). A history of diabetes was an independent risk indicator of death; there was no significant interaction between any other risk indicator and diabetes. Independent risk indicators for death among diabetic patients were: ...
Coronary artery bypass grafting (CABG) carries a risk of morbidity and mortality and is therefore not considered appropriate in asymptomatic patients who are at a low risk of myocardial infarction or ... more
Coronary artery bypass grafting (CABG) surgery is one of the most common operations performed in the United States. Despite the frequency of this operation, however, it is estimated that surgical site infections (SSIs ...
Understand the side effects and warnings of Coronary Artery Bypass Grafting. Explore other smart treatment options, see research evidence, and find out about peoples experiences with many popular treatments, including feedback from patients and professionals.
To determine the factors that influenced doctors prioritization and decisions on safe waiting time for coronary artery bypass surgery, 50 paper patients based on a random sample of cases who actually had surgery, were assessed by 33 clinicians. We used linear regression models to reflect the impact of clinical and non-clinical cues on safe...
We determined if infection indicators were sufficiently consistent across health plans to allow comparison of hospitals risks of infection after coronary artery bypass surgery. Three managed care organizations accounted for 90% of managed care in eastern Massachusetts, from October 1996 through March 1999. We searched automated inpatient and outpatient claims and outpatient pharmacy dispensing files for indicator codes suggestive of postoperative surgical site infection. We reviewed full text medical records of patients with indicator codes to confirm infection status. We compared the hospital-specific proportions of cases with an indicator code, adjusting for health plan, age, sex, and chronic disease score. A total of 536 (27%) of 1,953 patients had infection indicators. Infection was confirmed in 79 (53%) of 149 reviewed records with adequate documentation. The proportion of patients with an indicator of infection varied significantly (p&lt;0.001) between hospitals (19% to 36%) and health plans
After the surgery you may be taken to the recovery room before being taken to the intensive care unit (ICU) to be closely monitored. Alternatively, you may be taken directly to the ICU from the operating room. You will be connected to monitors that will constantly display your electrocardiogram (ECG or EKG) tracing, blood pressure, other pressure readings, breathing rate, and your oxygen level. Coronary artery bypass surgery requires an in-hospital stay of several days or longer.. You will most likely have a tube in your throat so that breathing can be assisted with a ventilator (breathing machine) until you are stable enough to breathe on your own. As you continue to wake up from the anesthesia and start to breathe on your own, the breathing machine will be adjusted to allow you to take over more of the breathing. When you are awake enough to breathe completely on your own and you are able to cough, the breathing tube will be removed. The stomach tube will also be removed at this time.. After ...
After the surgery you may be taken to the recovery room before being taken to the intensive care unit (ICU) to be closely monitored. Alternatively, you may be taken directly to the ICU from the operating room. You will be connected to monitors that will constantly display your electrocardiogram (ECG or EKG) tracing, blood pressure, other pressure readings, breathing rate, and your oxygen level. Coronary artery bypass surgery requires an in-hospital stay of several days or longer.. You will most likely have a tube in your throat so that breathing can be assisted with a ventilator (breathing machine) until you are stable enough to breathe on your own. As you continue to wake up from the anesthesia and start to breathe on your own, the breathing machine will be adjusted to allow you to take over more of the breathing. When you are awake enough to breathe completely on your own and you are able to cough, the breathing tube will be removed. The stomach tube will also be removed at this time.. After ...
OBJECTIVE: To describe mortality and morbidity during a period of 2 years after coronary artery bypass grafting (CABG) in relation to a history of hypertension. PATIENTS: All patients in western Sweden in whom CABG was undertaken between June 1988 and June 1991 and in whom simultaneous valve surgery was not performed were included in the study. DESIGN: A prospective 2-year follow-up study. RESULTS: Patients with a history of hypertension (n = 777) differed from patients without such a history (n = 1348) in that the proportion of women was higher, they were older and more frequently had a history of congestive heart failure, diabetes mellitus, renal dysfunction, cerebro-vascular disease, intermittent claudication and obesity, and the number of smokers and patients with previous CABG was lower. They were also more likely to develop post-operative cerebrovascular complications and signs of myocardia damage. Patients with hypertension tended to have increased mortality during the first 30 days after ...
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Coronary Artery Bypass Grafting Surgery contributes to a major proportion of cardiac surgery. Different determinants of postoperative morbidity and mortality had been studied widely.
We identified 6,791 coronary artery bypass grafting (CABG) cases using the Massachusetts hospital discharge data to quantify the contribution of complications to the cost of a hospitalization for CABG. After adjusting for in-hospital mortality and baseline clinical severity as other contributors to cost, the additional costs associated with complications were substantial.
CHICAGO -- The early outcomes of coronary artery bypass grafting (CABG) are similar regardless of cardiopulmonary support, according to the largest trial to enter into the on- or off-pump debate.
Our cardiac care includes valve replacement, open heart surgery, coronary artery bypass, valve surgery, and off-pump bypass procedures, lung diseases, angioplasty and stent placement.
Our cardiac care includes valve replacement, coronary artery bypass, valve surgery, and off-pump bypass procedures, angioplasty and stent placement.
The Coronary Artery Bypass site is the leading site for heart health and heart surgery advertising, e-commerce and online marketing for doctors and hospitals seeking a competitive advantage, new patients and increased market share.
The Coronary Artery Bypass site is the leading site for heart health and heart surgery advertising, e-commerce and online marketing for doctors and hospitals seeking a competitive advantage, new patients and increased market share.
Description of the techniques used for robotic coronary artery bypass including TECAB, MIDCAB, and hybrid procedures as performed by Dr. T. Sloane Guy, MD
This study has shown that a nurse led programme of shared care for patients awaiting bypass surgery can effectively improve CHD risk factors including smoking status (table 2) and general health status (table 4) and can reduce anxiety and depression. The improvement in smoking cessation was greater than reported in other intervention studies, including any CHD patient group, of Campbell and colleagues,21 and the SHIP (Southampton heart integrated care project.29 The deleterious effects of smoking on atherosclerosis have been established clearly.30Furthermore, long term mortality rates following CABG are significantly increased for patients who continue to smoke compared those who stop.31 The majority of patients in both groups had cholesterol concentrations greater than the recommended value18 but the proportion was similar to results reported in surveys of prevalence of uncorrected risk factors in patients with established CHD.15 16 There was a trend for a reduction in the percentage of ...
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Coronary artery bypass grafting is probably the most intensively studied surgical procedure, with follow up data extending over 20 years.2 It is highly effective in relieving the symptoms of ischaemic heart disease and improving life expectancy in patients with certain anatomical patterns of disease; these benefits are magnified in patients with more severe disease and with impaired left ventricular function.1 Furthermore, coronary artery bypass grafting is remarkably safe. Improvements in medical, anaesthetic, and surgical management have ensured that hospital mortality has remained around 2% over the past decade despite the treatment being used in older and sicker patients.3. On the other hand, … ...
Objective: Blood cell trauma in cardiac surgery is mainly attributed to the use of the heart lung machine and the oxygenator. The optimization of oxygenator design and membrane technology (e.g., chemical properties of surface mate rial), aiming at reducing the blood cell alterations, is an objective of current developments. Clinical evaluation of different oxygenators concerning alterations of blood cells and markers of organ function provide an appropriate level of complexity becau se various patient characteristics and operative data are involved. Our clinical research database enables us to study the impact of different oxygenator types on blood cells and markers of organ function in the homogenous group of elective coronary artery bypass grafting (CABG) patients. Materials and Methods: Prospective data from 4847 patients who underwent isolated CABG were collected, of which 282 had off - pump coronary artery bypass grafting (OPCAB). The blood cell parameters white blood cell (WBC) cou nts, ...
Alternate methods of minimally invasive coronary artery bypass surgery have been developed in recent times. Off-pump coronary artery bypass surgery (OPCAB) is a technique of performing bypass surgery without the use of cardiopulmonary bypass (the heart-lung machine). Futher refinements to OPCAB have resulted in Minimally invasive direct coronary artery bypass surgery (MIDCAB) which is a technique of performing bypass surgery through a 5 to 10 cm incision. People with multi-vessel coronary disease and desire a minimally invasive approach to surgery may be eligible for hybrid bypass. A hybrid approach combines coronary bypass (using the MIDCAB approach) and coronary stenting. ...
Comparison of cardiac output using invasive (Pulmonary Artery catheter Continuous cardiac Output), less invasive (FloTrac) and non invasive (Pulse Wave Transit Time) methods in patients undergoing off pump coronary artery bypass grafting-IJCA-Print ISSN No:-2394-4781 Online ISSN No:-2394-4994Article DOI No:-10.18231/j.
Objective: The aim of this study was to investigate whether acute kidney injury (AKI) after coronary artery bypass grafting can be attributed to intraoperative hypotension during cardiopulmonary bypass (IOH-CPB). Design: Retrospective analysis. Setting: Tertiary-care hospital. Participants: Patients undergoing on-pump coronary artery bypass grafting from June 2011 to January 2014. Interventions: ... read more None. Measurements and Main Results: IOH-CPB was defined as blood pressure below several absolute and relative mean arterial pressure (MAP) thresholds and as the area under the curve for absolute MAP thresholds. AKI was defined as an absolute increase in serum creatinine of≥26 μmol/L within 48 hours or an increase to 150% or more within 7 days of surgery. Poisson regression with robust standard errors both before and after adjustment for confounders was used. Of the 1,891 patients included, 386 (20%) developed AKI. In univariable analysis, all IOH-CPB thresholds defined as a MAP of 50 ...
Coronary artery bypass graft surgery (CABG) is a major advance in the care of patients with coronary disease (1,2). Over 500,000 patients now undergo CABG in the United States each year, making it the most frequent major operation performed (2). Although CABG improves symptoms and decreases mortality in certain subsets, coronary atherosclerosis continues to progress in native coronary arteries. In fact, atherosclerosis of native coronary and saphenous vein grafts (SVG) is accelerated, and low-density lipoprotein (LDL) cholesterol is an important causative factor (3). The accelerated atherosclerosis in these patients results in recurrent angina in 15% and ischemic events in 10% at 5 years after CABG (1).. On the basis of the findings of several recent studies, including the TNT (Treating to New Targets) study, aggressive lowering of LDL-cholesterol to 70 to 80 mg/dl or lower in coronary patients decreases major cardiovascular events (4-6). However, the role of aggressive lipid-lowering in ...
TY - JOUR. T1 - Network meta-analysis of antiplatelet therapy following coronary artery bypass grafting (CABG). T2 - none versus one versus two antiplatelet agents. AU - Chakos, Adam. AU - Jbara, Dean. AU - Singh, Kamal. AU - Yan, Tristan D.. AU - Tian, David H.. PY - 2018/9/1. Y1 - 2018/9/1. N2 - Background: Numerous agents have been trialed following coronary artery bypass grafting (CABG) to maintain long-term graft patency. While clear evidence exists for the use of aspirin in maintaining graft patency, the role of dual-antiplatelet therapy in CABG patients is not as well established. This network meta-analysis aimed to compare the short-term post-CABG graft patency outcomes for patients with none, one or two antiplatelet agents. Methods: Electronic databases were queried for randomized controlled trials comparing CABG graft patency rates at three months and beyond using various antiplatelet agents or placebo. Drug and graft patency data were compared using a mixed treatment comparison under ...
TY - JOUR. T1 - ESCVS article - Coronary. T2 - Early and late results of combined carotid endarterectomy and coronary artery bypass versus isolated coronary artery bypass. AU - Nwakanma, Lois. AU - Poonyagariyagorn, Hataya Kristy. AU - Bello, Ricardo. AU - Khoynezhad, Ali. AU - Smego, Douglas. AU - Plestis, Konstadinos A.. PY - 2006/4/1. Y1 - 2006/4/1. N2 - Objective: Optimal management of patients with combined coronary and carotid artery disease remains controversial. This study analyzed the outcomes between simultaneous carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) vs. isolated CABG. Methods: We reviewed the early and late follow-up data of 412 patients who underwent either combined CEA/CABG vs. CABG alone between August 1999 and October 2003. All patients undergoing CEA had at least 80% stenosis of one carotid artery. Data were obtained for pre-, intra-, and early postoperative variables. Late follow-up data (range 1.1 to 69.5 months postoperative, mean 42.4 months, ...
OBJECTIVES: There is still little evidence to boldport routine dual antiplatelet therapy (DAPT) with P2Y12 antagonists following coronary artery bypass grafting (CABG). The Arterial Revascularization Trial (ART) was designed to compare 10-year survival after bilateral versus single internal thoracic artery grafting. We aimed to get insights into the effect of DAPT (with clopidogrel) following CABG on 1-year outcomes by performing a post hoc ART analysis. METHODS: Among patients enrolled in the ART (n = 3102), 609 (21%) and 2308 (79%) were discharged on DAPT or aspirin alone, respectively. The primary end-point was the incidence of major adverse cerebrovascular and cardiac events (MACCE) at 1 year including cardiac death, myocardial infarction, cerebrovascular accident and reintervention; safety end-point was bleeding requiring hospitalization. Propensity score (PS) matching was used to create comparable groups. RESULTS: Among 609 PS-matched pairs, MACCE occurred in 34 (5.6%) and 34 (5.6%) in the DAPT

The Efficacy and Safety of Ramosetron in Patients Undergoing Off Pump Coronary Artery Bypass Surgery - AdisInsightThe Efficacy and Safety of Ramosetron in Patients Undergoing Off Pump Coronary Artery Bypass Surgery - AdisInsight

... on corrected QT interval in patients undergoing off pump coronary artery ... The Efficacy and Safety of Ramosetron in Patients Undergoing Off Pump Coronary Artery Bypass Surgery Next Previous ... The Efficacy and Safety of Ramosetron in Patients Undergoing Off Pump Coronary Artery Bypass Surgery Completed ...
more infohttp://adisinsight.springer.com/trials/700246954?error=cookies_not_supported&code=87e80775-4a86-4bfa-b772-9636c2e5a28e

Impact of perioperative myocardial infarction on angiographic and clinical outcomes following coronary artery bypass grafting ...Impact of perioperative myocardial infarction on angiographic and clinical outcomes following coronary artery bypass grafting ...

Impact of perioperative myocardial infarction on angiographic and clinical outcomes following coronary artery bypass grafting ( ... more on-pump surgery (83% vs 78%; p = 0.048), and worse target-artery quality (p ,0.001). Patients with perioperative MI more ... Myocardial infarction (MI) after coronary artery bypass grafting (CABG) is associated with significant morbidity and mortality ... Impact of perioperative myocardial infarction on angiographic and clinical outcomes following coronary artery bypass grafting ( ...
more infohttps://scholars.duke.edu/display/pub718226

North Texas Surgical - Beating Heart Bypass SurgeryNorth Texas Surgical - Beating Heart Bypass Surgery

Off pump coronary artery bypass reduces neurological and clinical morbidity: A prospective randomized trial. Paper presented ... Potential benefits of Beating Heart Bypass vs. Traditional Bypass surgery?. When compared to traditional coronary artery bypass ... 3. Puskas JD et al Off-Pump coronary artery bypass grafting provides complete revascularization while reducing myocardial ... Early outcome after off-pump versus on-pump coronary bypass surgery: results from a randomized study. Circulation, 2001 Oct 9; ...
more infohttp://heartlungsurgery-northtexas.com/beating_heart_bypass.htm

Incidence of stroke after coronary artery bypass grafting surgery has decreasedIncidence of stroke after coronary artery bypass grafting surgery has decreased

... on-pump with beating heart, on-pump with arrested heart, on-pump with hypothermic circulatory arrest (in which a heart-lung ... Incidence of stroke after coronary artery bypass grafting surgery has decreased. Jan 25, 2011 - 7:14:17 PM , Reviewed by: Dr. ... RxPG] An analysis of data on more than 45,000 patients who underwent coronary artery bypass graft (CABG) surgery at an academic ... and on-pump beating-heart CABG (0 percent). Risk of intraoperative stroke was intermediate for those undergoing on-pump ...
more infohttp://www.rxpgnews.com/stroke-cva/1Incidence_of_stroke_after_coronary_artery_bypass_grafting_surgery_has_decreased_468508.shtml

Heart-Lung Machine - used, first, blood, body, Gibbons Research, Product Improvements, How It WorksHeart-Lung Machine - used, first, blood, body, Gibbons Research, Product Improvements, How It Works

Coronary bypass surgery, in which a replacement blood vessel is used to carry blood flow around a blocked section of artery, is ... It is then pumped through an artificial lung to expose it to oxygen. When the blood is passing through the lung (or oxygenator ... Thanks to Gibbons heart-lung machine, open-heart surgery, especially coronary bypass, has become routine throughout the world ... The heart-lung machine next pumps the red blood back into the patient through a tube. The heart-lung circuit is a continuous ...
more infohttp://www.discoveriesinmedicine.com/Enz-Ho/Heart-Lung-Machine.html

Madison Health: HealthDay NewsMadison Health: HealthDay News

Coronary artery bypass creates new routes for blood to flow to the heart because old routes are blocked by plaque in the artery ... And, when a pump is used, the aorta has to be clamped. Clamping can cause plaque in the artery to break off and result in a ... Since the 1990s, two different approaches have been commonly used by heart surgeons to perform coronary artery bypass graft ... 17, 2017 (HealthDay News) -- Five years after heart bypass surgery, patients whose operation was done using a heart-lung pump ...
more infohttp://madison-health.com/healthdayarticle.php?id=9745

Overview | Off-pump coronary artery bypass grafting | Guidance | NICEOverview | Off-pump coronary artery bypass grafting | Guidance | NICE

Evidence-based recommendations on off-pump coronary artery bypass grafting (CABG) to treat coronary artery disease (CAD) ... Scotland and Northern Ireland on Off-pump coronary artery bypass grafting.. It replaces the previous guidance on Off-pump ... Off-pump coronary artery bypass grafting. Interventional procedures guidance [IPG377]. Published date: 26 January 2011. ... coronary artery bypass (OPCAB) (NICE interventional procedures guidance 35, January 2004). Description. Coronary artery disease ...
more infohttps://www.nice.org.uk/guidance/IPG377

Off-Pump Coronary Artery Bypass Surgery | Johns Hopkins MedicineOff-Pump Coronary Artery Bypass Surgery | Johns Hopkins Medicine

... is a type of heart surgery used to bypass blockages in the coronary arteries. ... Coronary artery bypass surgery, commonly known as CABG, ... OffPump Coronary Artery Bypass Surgery Off-Pump Coronary Artery ... Coronary Artery Disease Treatment Cardiovascular Surgery What is off-pump CABG?. Coronary artery bypass surgery, commonly known ... Surgeons perform this type of surgery to bypass blockages in the coronary arteries. An "off-pump CABG" is a CABG performed ...
more infohttps://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/offpump-coronary-artery-bypass-surgery

Postoperative Tachyarrhythmias: On-Pump versus Off-Pump Coronary Artery Bypass GraftingPostoperative Tachyarrhythmias: On-Pump versus Off-Pump Coronary Artery Bypass Grafting

... Mohamed Shehata, Bassem AbdElhalim, ... after coronary artery bypass graft (CABG) surgery, develop in 11%-40% of patients. Surgery technique (on-pump or off-pump) ... of coronary artery disease and higher incidence of postoperative chest infections (. ), while those in group B showed higher ... on-pump) and group B (off-pump). Patients were subjected to electrocardiographic monitoring (7 days postoperatively), ...
more infohttps://www.hindawi.com/journals/isrn/2014/659706/abs/

Beating Heart Surgery or Off Pump Coronary Artery Bypass SurgeryBeating Heart Surgery or Off Pump Coronary Artery Bypass Surgery

Off-pump coronary artery bypass surgery (OPCAB) is performed on a beating heart with Medtronic Octopus® Tissue Stabilizers. ... Conventional On Pump Coronary Artery Bypass Surgery. More than 70%2 of all bypass surgeries are performed on a stopped heart. ... Beating heart bypass surgery is also called Off Pump Coronary Artery Bypass Surgery (OPCAB). Both OPCAB and conventional on- ... When your arteries cannot supply enough blood to your heart, your doctor may recommend coronary artery bypass graft (CABG) ...
more infohttps://www.medtronic.com/uk-en/patients/treatments-therapies/heart-surgery-cad/beating-heart-bypass-surgery-what-is-it.html

Coronary artery bypass grafting on pump: role of three-day discharge.  - PubMed - NCBICoronary artery bypass grafting "on pump": role of three-day discharge. - PubMed - NCBI

Coronary artery bypass grafting "on pump": role of three-day discharge.. Ott RA1, Gutfinger DE, Miller MP, Selvan A, Codini MA ... A new emphasis has been directed toward "off-pump" coronary artery bypass grafting to avoid the morbidity of cardiopulmonary ... With the intent of achieving a hospital discharge for "on-pump" coronary artery bypass grafting procedures comparable with the ... With the application of a rapid-recovery protocol to patients undergoing "on-pump" coronary artery bypass grafting, discharge ...
more infohttps://www.ncbi.nlm.nih.gov/pubmed/9262597

Outcomes experience with off-pump coronary artery bypass surgery in women.Outcomes experience with off-pump coronary artery bypass surgery in women.

In view of this evidence, we investigated the following question: compared with on-pump CABG ... It has been well documented that women have higher morbidity and mortality rates than men following coronary artery bypass ... Cardiopulmonary Bypass. Comorbidity. Coronary Artery Bypass / methods*, mortality*. Female. Humans. Postoperative Complications ... 9350934 - Assessing the outcomes of coronary artery bypass graft surgery: how many risk factors a.... 17239714 - Long qt ...
more infohttp://www.biomedsearch.com/nih/Outcomes-experience-with-off-pump/12643404.html

Off-Pump Coronary Artery Bypass Grafting - Renal and Urology NewsOff-Pump Coronary Artery Bypass Grafting - Renal and Urology News

... on-pump coronary artery bypass, [ONCAB]) in ,80% of patients and without CPB (off-pump coronary artery bypass [OPCAB]) in ≈10- ... "Minimally invasive direct coronary artery bypass and off-pump coronary artery bypass surgery: Anesthetic considerations". ... "On-pump versus off-pump coronary artery bypass grafting in a cohort of 63,000 patients". Ann Thorac Surg. vol. 87. 2009. pp. ... Shroyer, AL, Grover, FL, Hattler, B. "On-pump versus off-pump coronary artery bypass surgery". N Engl J Med. vol. 361. 2009. pp ...
more infohttps://www.renalandurologynews.com/anesthesiology/off-pump-coronary-artery-bypass-grafting/article/582272/

Effects of off-pump and on-pump coronary-artery bypass grafting at 1 year.  - PubMed - NCBIEffects of off-pump and on-pump coronary-artery bypass grafting at 1 year. - PubMed - NCBI

Effects of off-pump and on-pump coronary-artery bypass grafting at 1 year.. Lamy A1, Devereaux PJ, Prabhakaran D, Taggart DP, ... Off-pump or on-pump coronary-artery bypass grafting. [N Engl J Med. 2013] ... Off-pump or on-pump coronary-artery bypass grafting. [N Engl J Med. 2013] ... Off-pump or on-pump coronary-artery bypass grafting. [N Engl J Med. 2013] ...
more infohttps://www.ncbi.nlm.nih.gov/pubmed/23477676?tool=MedlinePlus

Dr. Craig Smith - What Is an Off-Pump Coronary Artery Bypass Surgery? - SharecareDr. Craig Smith - What Is an Off-Pump Coronary Artery Bypass Surgery? - Sharecare

In off-pump cardiac artery bypass surgery (OPCAB), a doctor repairs the heart without having to stop it. In this video, ... Craig Smith - What Is an Off-Pump Coronary Artery Bypass Surgery? Dr. Craig Smith - What Is an Off-Pump Coronary Artery Bypass ... An Off-pump Coronary Artery Bypass procedure or OPCAB as its known for Off-pump Coronary Artery Bypass is a way of doing ... What Is an Off-Pump Coronary Artery Bypass Surgery? (1:06) In off-pump cardiac artery bypass surgery (OPCAB), a doctor repairs ...
more infohttps://www.sharecare.com/video/sharecare-experts/craig-smith/dr-craig-smith-what-is-an-off-pump-coronary-artery-bypass-surgery

Off-pump coronary artery bypass graft surgery: the incidence of postoperative atrial fibrillation | HeartOff-pump coronary artery bypass graft surgery: the incidence of postoperative atrial fibrillation | Heart

On-pump versus off-pump coronary artery bypass: independent risk factors and off-pump graft patency. Eur J Cardiothorac Surg ... Coronary artery bypass grafting with cardiopulmonary bypass versus off-pump cardiopulmonary bypass grafting: does eliminating ... Minimally invasive direct coronary artery bypass grafting versus single vessel conventional coronary artery bypass [abstract]. ... "Off-pump" coronary artery bypass grafting: the first one hundred cases of the Rose City experience. Ann Thorac Surg1999;68:1482 ...
more infohttp://heart.bmj.com/content/89/10/1134

Prophylactic dialysis in patients with renal dysfunction undergoing on-pump coronary artery bypass surgery.Prophylactic dialysis in patients with renal dysfunction undergoing on-pump coronary artery bypass surgery.

... than 2.5 mg/dL are associated with markedly increased risk for both mortality and morbidity in patients undergoing coronary ... artery bypass surgery. We aimed to determine the effects of prophylactic per ... Cardiopulmonary Bypass*. Cause of Death. Coronary Artery Bypass*. Creatinine / blood*. Female. Hospital Mortality. Humans. ... and the development of acute renal failure and prolong the length of hospital stay after on-pump coronary artery bypass surgery ...
more infohttp://www.biomedsearch.com/nih/Prophylactic-dialysis-in-patients-with/12645707.html

Decision making in off-pump coronary artery bypass surgery: where does conversion fit in? | HeartDecision making in off-pump coronary artery bypass surgery: where does conversion fit in? | Heart

The intense debate of earlier years between off-pump coronary artery bypass (OPCAB) grafting and conventional coronary artery ... Decision making in off-pump coronary artery bypass surgery: where does conversion fit in? ... Decision making in off-pump coronary artery bypass surgery: where does conversion fit in? ... particularly during coronary anastomosis, or where the anatomy is unfavourable for safe and complete off-pump revascularisation ...
more infohttp://heart.bmj.com/content/98/18/1332

Off-pump coronary artery bypass - WikipediaOff-pump coronary artery bypass - Wikipedia

Off-pump coronary artery bypass or "beating heart" surgery is a form of coronary artery bypass graft (CABG) surgery performed ... Cardiac surgeon Coronary artery bypass surgery (CABG) Minimally invasive direct coronary artery bypass surgery (MIDCAB) ... Off-pump coronary artery bypass was developed partly to avoid the complications of cardiopulmonary bypass during cardiac ... When a cardiac surgeon chooses to perform the CABG procedure off-pump, also known as OPCAB (Off-pump Coronary Artery Bypass), ...
more infohttps://en.wikipedia.org/wiki/Off-pump_coronary_artery_bypass

Five-Year Outcome After Off-Pump or On-Pump Coronary Artery Bypass Grafting in Elderly Patients | CTSNetFive-Year Outcome After Off-Pump or On-Pump Coronary Artery Bypass Grafting in Elderly Patients | CTSNet

Five-Year Outcome After Off-Pump or On-Pump Coronary Artery Bypass Grafting in Elderly Patients. Saturday, February 9, 2019 ... there was no superiority benefit for the on-pump CABG over the off-pump anyway. ... It can be interpreted that either you perform an off- or on-pump CABG on the elderly, ... that five-year survival and morbidity rates in patients over 75 years of age did not differ between off-pump and on-pump groups ...
more infohttp://ctsnet.org/jans/five-year-outcome-after-pump-or-pump-coronary-artery-bypass-grafting-elderly-patients

Off-pump Coronary Artery Bypass Stock Image Search ResultsOff-pump Coronary Artery Bypass Stock Image Search Results

Off-pump Coronary Artery Bypass,Medical Illustration database of the best portfolios and stock images now features General and ... Coronary Artery Stenosis with Angioplasty May be customized by editing labels, or by combining artwork with graphics from our ... Anatomy of the Nerves, Arteries and Veins of the Arm (Upper Extremity). Labels include cephalic vein, brachial artery/ vein ... This medical exhibit pictures an abdominal aortic aneurysm below the level of the renal artery from an anterior (front) view ...
more infohttp://www.indexedvisuals.com/scripts/ivstock/search.asp?q=Off-Pump%20Coronary%20Artery%20Bypass&terms=alphalist:o&n=1

Effects of Colloid and Crystalloid on the Microcirculatory Alterations During Off-pump Coronary Artery Bypass Surgery - Full...Effects of Colloid and Crystalloid on the Microcirculatory Alterations During Off-pump Coronary Artery Bypass Surgery - Full...

Effects of Colloid and Crystalloid on the Microcirculatory Alterations During Off-pump Coronary Artery Bypass Surgery. This ... The purpose of this study is to compare the effects of crystalloid and colloid, which are used for pump priming solution, on ...
more infohttps://clinicaltrials.gov/ct2/show/NCT01713166

Angiomax in Patients With HIT/HITTS Type II Undergoing Off-Pump Coronary Artery Bypass Grafting (CABG) (CHOOSE) - Full Text...Angiomax in Patients With HIT/HITTS Type II Undergoing Off-Pump Coronary Artery Bypass Grafting (CABG) (CHOOSE) - Full Text...

Angiomax in Patients With HIT/HITTS Type II Undergoing Off-Pump Coronary Artery Bypass Grafting (CABG) (CHOOSE). The safety and ... undergoing off-pump coronary artery bypass (OPCAB) surgery. ... Coronary Artery Bypass Surgery Drug Information available for: ... Thrombocytopenia Thrombosis Cardiac Disease Coronary Artery Bypass Surgery Drug: Angiomax (bivalirudin) anticoagulant Phase 3 ... Coronary artery bypass surgery. CABG. Heparin-induced thrombocytopenia. Heparin-induced thrombocytopenia and thrombosis ...
more infohttps://clinicaltrials.gov/ct2/show/NCT00073580

Off-Pump or On-Pump Coronary-Artery Bypass Grafting at 30 Days - American College of CardiologyOff-Pump or On-Pump Coronary-Artery Bypass Grafting at 30 Days - American College of Cardiology

Off-Pump or On-Pump Coronary-Artery Bypass Grafting at 30 Days. Mar 26, 2012 Share via: ... YOU ARE HERE: Home , Latest in Cardiology , Off-Pump or On-Pump Coronary-Artery Bypass Grafting at 30 Days ... Cardiopulmonary Bypass, Confidence Intervals, Risk Assessment, Coronary Artery Bypass ... What are the relative benefits and risks of performing coronary artery bypass grafting (CABG) with the use of a beating-heart ...
more infohttp://www.acc.org/latest-in-cardiology/journal-scans/2012/03/26/13/04/off-pump-or-on-pump-coronary-artery-bypass-grafting-at-30-days

Abstract 13335: Benefits of Off-Pump Coronary Artery Bypass Grafting in High-Risk Patients: A Propensity-Score Analysis |...Abstract 13335: Benefits of Off-Pump Coronary Artery Bypass Grafting in High-Risk Patients: A Propensity-Score Analysis |...

Abstract 13335: Benefits of Off-Pump Coronary Artery Bypass Grafting in High-Risk Patients: A Propensity-Score Analysis. Akira ... Abstract 13335: Benefits of Off-Pump Coronary Artery Bypass Grafting in High-Risk Patients: A Propensity-Score Analysis ... Abstract 13335: Benefits of Off-Pump Coronary Artery Bypass Grafting in High-Risk Patients: A Propensity-Score Analysis ... Abstract 13335: Benefits of Off-Pump Coronary Artery Bypass Grafting in High-Risk Patients: A Propensity-Score Analysis ...
more infohttp://circ.ahajournals.org/content/124/Suppl_21/A13335
  • This medical exhibit pictures an abdominal aortic aneurysm below the level of the renal artery from an anterior (front) view. (indexedvisuals.com)
  • Essentially, the off-pump group would benefit in the short-term from fewer deleterious effects of blood transfusions, respiratory complications, and renal dysfunction, which may be counterbalanced by the risk of lower rates of long-term graft patency. (acc.org)
  • Compared with slow washout, fast washout was associated with a higher preoperative ejection fraction, use of internal mammary artery grafts, and anterior anastomosis location. (onlinejacc.org)
  • aka Left internal thoracic artery, Left ITA) to bypass the left anterior descending artery (LAD), which is termed as Left IMA-LAD, as a preferable anastamosis whenever indicated and technically feasible (Loop et al. (wikipedia.org)
  • In the majority of cases, this is an urgent or even emergency process aiming at correction of haemodynamic instability during manipulation of the heart, particularly during coronary anastomosis, or where the anatomy is unfavourable for safe and complete off-pump revascularisation. (bmj.com)
  • It is thought to be triggered by surgical trauma, lung reperfusion, and contact of blood with the "foreign" extracorporeal bypass circuit. (bmj.com)
  • Off-pump bypass developed in the late 1990s and a little bit after that, and has become important in a segment of the population, and in a segment of surgeons. (sharecare.com)
  • The technique has a steep learning curve, but with adequate training and experience, the quality of the anastomoses has been shown to be similar to on-pump results in surgeons with comparable experience On February 18, 2012 Amano Atsushi performed a successful off-pump coronary artery bypass operation on Emperor Akihito. (wikipedia.org)
  • The other one or two arteries will be stented, when appropriate, allowing cardiologists and cardiothoracic surgeons to work together. (wikipedia.org)