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

doi:10.1016/j.hlc.2012.09.005

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 journal › Review article › peer-review

10 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 language	English
Pages (from-to)	161-170
Number of pages	10
Journal	Heart, Lung and Circulation
Volume	22
Issue number	3
DOIs	https://doi.org/10.1016/j.hlc.2012.09.005
Publication status	Published - Mar 2013
Externally published	Yes

Keywords

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

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10.1016/j.hlc.2012.09.005

Cite this

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title = "Anaortic, total-arterial, off-pump coronary artery bypass surgery: why bother?",

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.",

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doi = "10.1016/j.hlc.2012.09.005",

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AU - Edelman, J. J. B.

AU - Sherrah, A. G.

AU - Wilson, M. K.

AU - Bannon, P. G.

AU - Brereton, R. J.

AU - Ross, D. E.

AU - Vallely, M. P.

PY - 2013/3

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AB - 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.

KW - Off-pump coronary artery bypass grafting

KW - Stroke

KW - Total-arterial revascularisation

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Anaortic, total-arterial, off-pump coronary artery bypass surgery: why bother?

Abstract

Keywords

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