Anaortic, total-arterial, off-pump coronary artery bypass surgery

Why bother?

J. J B Edelman, A. G. Sherrah, M. K. Wilson, P. G. Bannon, R. J. Brereton, D. E. Ross, M. P. Vallely*

*Corresponding author for this work

Research output: Contribution to journalReview article

8 Citations (Scopus)

Abstract

Coronary artery bypass grafting (CABG) remains the standard of care for multi-vessel coronary disease. However, the increased rate of peri-operative stroke reported after surgery compared to percutaneous coronary intervention (PCI) remains of concern. Anaortic, total-arterial, off-pump coronary artery bypass (OPCAB) grafting is a technique that offers the main advantages of surgical revascularisation with a rate of stroke that is equivalent to that of PCI. Some recent trials comparing conventional on-pump CABG with OPCAB have questioned the efficacy of the off-pump technique - these are most often performed with manipulation of the ascending aorta. We review the potential benefits of the anaortic, total-arterial OPCAB technique to explain why it is being employed by an increasing number of surgeons.

Original languageEnglish
Pages (from-to)161-170
Number of pages10
JournalHeart, Lung and Circulation
Volume22
Issue number3
DOIs
Publication statusPublished - Mar 2013
Externally publishedYes

Keywords

  • Off-pump coronary artery bypass grafting
  • Stroke
  • Total-arterial revascularisation

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