Key result
Off-pump total arterial revascularization shows feasibility with 0% incidence of death, stroke, or perioperative MI.
Why the study?
The risks associated with cardiopulmonary bypass have led to interest in coronary surgery without its use.
Is total arterial myocardial revascularization without cardiopulmonary bypass feasible and safe in patients undergoing elective coronary surgery?
Comparison
Total arterial myocardial revascularization without cardiopulmonary bypass
Design
Observational case series
Follow-up
Mean hospital stay 5.0 days
Authors
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Hypothesis-generating in selected patients; leaves open need for larger trials before wider adoption.
Observational (n=6)
Is total arterial myocardial revascularization without cardiopulmonary bypass feasible and safe in patients undergoing elective coronary surgery?
Total arterial myocardial revascularization without cardiopulmonary bypass using composite grafts appears feasible and safe with good early outcomes in selected patients.
Guido Sani (1996) conducted an observational in Coronary artery disease requiring elective surgery (n=6). Total arterial myocardial revascularization without cardiopulmonary bypass was evaluated on Death, stroke, low cardiac output syndrome, or perioperative myocardial infarction. Total arterial myocardial revascularization without cardiopulmonary bypass was feasible in 6 selected patients, with 0% incidence of death, stroke, or perioperative myocardial infarction.
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