Graft Patency Following Off-Pump Coronary Artery Bypass Surgery
For the past few decades, coronary artery bypass grafting (CABG) using cardiopulmonary bypass (CPB) and cardioplegic arrest has been considered the standard for surgical coronary revascularization. Since the mid-1990s, there has been increased interest in avoiding the use of extracorporeal circulation and the bypass circuit during construction of the distal anastomoses. This interest in off-pump coronary artery bypass grafting (OPCAB) has, in large part, been because of the detrimental effects of CPB; specifically the inflammation response, adverse neurologic outcomes, and the multi-system organ injury that may occur. Importantly, OPCAB has been associated with reduced myocardial enzyme release, lower transfusion requirement, reduced pulmonary and renal complications, shorter length of stay, and lower cost.1,2 (SELECT FULL TEXT TO CONTINUE)
- Received May 9, 2012.
- Accepted May 11, 2012.
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