Key result
This review summarizes intraoperative and postoperative methods and outcomes of anastomotic evaluation for patients undergoing off-pump coronary artery surgery.
This review discusses intraoperative and postoperative methods for evaluating graft patency in patients undergoing off-pump coronary artery bypass surgery.
Graft patency assessment methods in off-pump CABG remain inconsistent; leaves open the need for standardized protocols and prospective validation.
With presently available instrumentation, off-pump coronary artery bypass (OPCAB) grafting via a median sternotomy can now be performed for lesions in virtually any coronary artery with a high degree of patient safety and surgeon comfort. Recent reports have documented excellent short-term outcomes for patients undergoing OPCAB (1,2). Despite multiple clinical studies evaluating clinical outcomes, there remains a paucity of literature evaluating the patency of grafts constructed by OPCAB techniques. Although the introduction of epicardial stabilizers has improved the accuracy with which distal anastomoses on the beating heart can be constructed, there has been concern that the technical difficulties of performing OPCAB could possibly increase the risk of technical anastomotic failure (3). This chapter reviews both the intraoperative and postoperative methods and outcomes of anastomotic evaluation for patients undergoing off-pump coronary artery surgery.
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Thourani et al. (2004) conducted a review in Coronary artery disease requiring bypass. Off-pump coronary artery bypass (OPCAB) was evaluated on Graft patency and anastomotic evaluation. This review summarizes intraoperative and postoperative methods and outcomes of anastomotic evaluation for patients undergoing off-pump coronary artery surgery.
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