Off-pump coronary artery bypass (OPCAB), or beating-heart surgery, is a form of coronary artery bypass graft (CABG) surgery performed without cardiopulmonary bypass (heart-lung machine) as a treatment for coronary heart disease. It was primarily …

2021年12月15日 · OPCAB是在跳动的心脏上进行冠状动脉重建术。 OPCAB对高危患者更有利，如脑，肾，肺功能不全或高龄（>80岁）的患者，可以避免CPB不良影响。 升主动脉粥样硬化患者因不必钳闭主动脉可能从OPCAB中受益更多。 OPCAB的禁忌证主要是局限于技术考虑，如难以解剖的心肌内冠状动脉，心脏操作中腔内血栓的脱落，及瓣膜置换的联合手术。 有恶性室性心律失常的病史，以及无法耐受心肌缺血的患者均不适合OPCAB（表5.1）。 表5.1 传统的CABG …

2023年5月1日 · We present the outcomes of a series of synchronous carotid endarterectomy (CEA) and anOPCAB. A retrospective review was performed. The primary endpoint was stroke at 30 days post-operation. Secondary endpoints included transient ischaemic attack, myocardial infarction and mortality 30 days post-operation.

Carotid Doppler revealed a 90% block in the right internal carotid artery and a 50% block in the left internal carotid artery. Both the vertebral arteries had flow-limiting obstructions of 80% each. Holter monitoring was normal. The authors decided to …

2012年9月11日 · OPCAB as opposed to CCAB is associated with short-term and long-term benefits in stroke prevention in patients at higher risk as estimated by EuroSCORE. No survival benefit of OPCAB was shown regardless of preoperative risk level.

Unlike traditional CABG where the anesthesiologist plays a passive role during the performance of bypass grafting, involvement of the anesthesia team is essential for successful OPCAB. A continuous cardiac output swan ganz catheter and continuous mixed …

Coronary artery bypass grafting (CABG) is the most common adult cardiac surgical procedure performed in the United States. 1 Conventional CABG is performed with cardiopulmonary bypass (CPB) support and is known as on‐pump CABG procedure (ONCAB).

Off-pump Coronary Artery Bypass Grafting (OPCAB) experienced a resurgence in the 1980s -2000s and developed steadily with improvement of the instrumentation and techniques. However questions about graft patency and long-term survival of OPCAB patients still exist. This review attempts to explore the current relevance of OPCAB.

2018年8月14日 · The promotion of OPCAB was based on its potential benefits over some of the limitations of traditional on‐pump coronary artery bypass surgery (ONCAB) by avoiding the trauma of cardiopulmonary bypass (CPB) and by minimizing aortic manipulation.

Download Table | Perioperative Outcomes for Synchronous CEA + CABG, Staged CEA + CABG, Reverse-Staged CABG + CEA, Synchronous CEA + Off-Pump CABG, and Staged CAS + CABG a from publication...