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Coronary artery bypass surgery aims to prevent death from coronary artery disease and improve quality of life by relieving angina, the associated feeling of chest pain. [1] The decision to perform surgery is informed by studies of CABG's efficacy in different patient subgroups, based on the lesions' anatomy or how well the heart is functioning.
The technique has a steep learning curve, but with adequate training and experience, the quality of the anastomoses has been shown to be similar to on-pump results in surgeons with comparable experience On February 18, 2012, Amano Atsushi performed a successful off-pump coronary artery bypass operation on Emperor Akihito. [7]
MIDCAB is sometimes referred to as "keyhole" heart surgery because the operation is analogous to operating through a keyhole. MIDCAB is a form of off-pump coronary artery bypass surgery (OPCAB), performed "off-pump" – without the use of cardiopulmonary bypass (the heart-lung machine).
"Results of completion arteriography after minimally invasive off-pump coronary artery bypass". The Annals of Thoracic Surgery. 91 (1): 31– 6, discussion 36–7. doi: 10.1016/j.athoracsur.2010.09.057. PMID 21172481. Hoff SJ (2009). "Off-pump coronary artery bypass: techniques, pitfalls, and results". Seminars in Thoracic and Cardiovascular ...
The requirement of blood transfusion during open-heart surgical operations is almost inevitable because the metabolism must be continuously kept working through the peripheral blood flow. [4] Cardiopulmonary bypass (CPB) is a medical technique to oxygenate the blood and remove the carbon dioxide during the cardiac operation. [4]
The harvested blood vessel used in coronary artery bypass graft surgery must be free from damage to ensure proper long-term function and good patient outcomes. [31] Conduit quality is a significant factor in long-term patient results. Conduit quality is not always visibly evident when looking at the exterior of the harvested vessel.
Extracorporeal life support (ECLS) systems differ from traditional, theatre based, cardiac bypass machines in that they are portable and utilise percutaneous access as opposed to catheters which are surgically inserted into an open chest. The first access enters the femoral vein at the groin and is extended superiorly to the right atrium.
Activated clotting time (ACT), also known as activated coagulation time, is a test of coagulation. [1] [2]The ACT test can be used to monitor anticoagulation effects, such as from high-dose heparin before, during, and shortly after procedures that require intense anticoagulant administration, such as cardiac bypass, interventional cardiology, thrombolysis, extra-corporeal membrane oxygenation ...