The products required include a range of Endoscopic Vein Harvesters and Heart Positioners including blower misters and shunts for cardiopulmonary bypass off-pump
However, despite some evidence for their efficacy, off-pump
surgery and multiple arterial grafts have not become widespread (see below).
Among their topics are the historical development of minimized cardiopulmonary bypass, the blood-surface interface in miniaturized extracorporeal circulation systems, myocardial preservation techniques for mini-bypass, valve surgery using minimized perfusion circuits, and comparing minimized circulation with off-pump
coronary artery bypass grafting and conventional surgery.
Role of off-pump
coronary artery bypass grafting in patients with malignant neoplastic disease.
Contributors address both intra-operative techniques and post-operative care for reducing complications, with chapters on topics such as thoracic incisions, arrhythmias following cardiac and thoracic operations, and complications of cardiopulmonary bypass, lung transplantation, lung volume reduction surgery, esophageal resection, pleural operations, mediastinal procedures, off-pump
coronary artery surgery, and atrial fibrillation surgery.
8% STS score (Society of Thoracic Surgeons Risk Score predicting 30-day mortality) and symptomatic aortic stenosis was admitted for off-pump
minimally-invasive transapical aortic valve implantation.
ORLANDO -- Patients treated with off-pump
coronary artery bypass graft surgery had significantly better long-term neurocognitive function, compared with those who got percutaneous coronary intervention, in the first-ever randomized head-to-head comparison of the revascularization methods focusing on cognitive outcome.
For the vast majority, there's no advantage to doing it off-pump
and there may be some disadvantages," said Dr Frederick Grover of the University of Colorado Denver, one of the leaders of the study.
The trial will involve patients with ischemic heart disease who are scheduled for off-pump
(beating heart) coronary artery bypass grafting surgery.
Norman Briffa, consultant cardiac surgeon, said: "We are one of the first hospitals in the UK to carry out this type of beating heart, or off-pump
The use of these high-quality, reusable titanium instruments will translate to substantial savings to cardiac-surgery operating budgets for off-pump
It will involve four groups of approximately 100 patients each: those with cerebrovascular risk factors who undergo traditional CABG procedures, those who have off-pump
surgery, those with coronary artery disease who do not have bypass procedures, and an age-matched control group with no risk factors and no surgical procedures.