PMID: 11899183Mar 20, 2002Paper

Conversion to off-pump coronary bypass without increased morbidity or change in practice

The Annals of Thoracic Surgery
Ani C AnyanwuMohamed Amrani

Abstract

This article examines the feasibility of complete conversion from conventional coronary artery operation to routine off-pump coronary bypass operation. Data on our first 285 off-pump procedures using the Octopus system (Medtronic Inc, Minneapolis, MN) represent our learning curve. This is a complete experience in coronary bypass surgery over 16 months. The cohort was nonselected. All patients had at least two-vessel disease. Eight hundred seven grafts were performed (mean, 2.8 per patient) of which 647 grafts (84%) were arterial (mean, 2.3 per patient). One hundred seventy nine patients (63%) underwent total arterial revascularization. Eight patients required cardiopulmonary bypass; all other operations were completed off-pump. Complications were: mortality, 3 patients (1.5%); renal failure, 24 patients (8%); stroke, 2 patients (< 1%); and atrial fibrillation, 60 patients (21%). The morbidity data and frequency of arterial grafting did not differ from that of 355 patients who underwent coronary bypass operations in a preceding 18-month period. Complete shift from routine use of cardiopulmonary bypass to nonselective off-pump coronary bypass operation is possible with a low conversion rate and without an apparent increase in mor...Continue Reading

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Citations

Jun 16, 2004·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Michiko IshidaSoichiro Kitamura
Jun 21, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Dayal MukherjeeThanos Athanasiou
Oct 8, 2003·The Annals of Thoracic Surgery·James R EdgertonMichael J Mack
Jun 13, 2003·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·S Al-RuzzehS George
Aug 16, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Deepak BordeShreedhar Joshi
Jan 25, 2011·The Annals of Thoracic Surgery·Dayal MukherjeeThanos Athanasiou
Jun 13, 2003·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Masami OchiShigeo Tanaka
Jun 3, 2008·Asian Cardiovascular & Thoracic Annals·Arman HovakimyanHagop Hovaguimian
Nov 6, 2012·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Jonathan M HemliValavanur A Subramanian
Feb 15, 2007·Journal of Cardiovascular Medicine·Mohamed Amrani, Sharif Al-Ruzzeh
Mar 23, 2006·Annals of the Royal College of Surgeons of England·Ian Weir
Sep 13, 2003·Circulation·Sharif Al-RuzzehUNKNOWN United Kingdom Multi-Center Comparative Analysis of Early Clinical Outcome
Jul 23, 2021·Computer Methods and Programs in Biomedicine·Han LaiWathek Chammam

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