Randomized evidence on graft patency after off-pump versus on-pump coronary artery bypass grafting: An updated meta-analysis

2022 ◽  
pp. 106212
Author(s):  
Zhuoming Zhou ◽  
Guangguo Fu ◽  
Kangni Feng ◽  
Suiqing Huang ◽  
Guangxian Chen ◽  
...  
Author(s):  
Bobby Yanagawa ◽  
Michael E. Halkos ◽  
John D. Puskas

Off-pump coronary artery bypass grafting is a technically demanding procedure that allows for avoidance of the deleterious consequences of cardiopulmonary bypass and can facilitate a no- or minimal-aortic manipulation procedure. To ensure the construction of a precise and reproducible off-pump coronary anastomosis, adjunctive tools have been developed that, when used correctly, can create a near motionless and bloodless field, mimicking conditions of anastomosis on an arrested heart. These include cardiac positioning and stabilization devices, occlusive tapes and intracoronary shunts, and misted blowers. The chapter also discusses the use of a proximal anastomosis device to mitigate the risk of stroke and a transit-time flow meter for confirmation of graft patency. It offers practical suggestions on the correct use of each device as well as common pitfalls to avoid.


2021 ◽  
Vol 17 ◽  
Author(s):  
Chima K.P. Ofoegbu ◽  
Rodgers M. Manganyi

: Off-pump Coronary Artery Bypass Grafting (OPCAB) experienced a resurgence in the 1980s -2000s and developed steadily with improvement of the instrumentation and techniques. However questions about graft patency and long-term survival of OPCAB patients still exist. This review attempts to explore the current relevance of OPCAB.


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