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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 developed in the early 1990s by Dr. Amano Atsushi.
"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 ...
Brine draw: Water is directed through a jet pump, which pulls salt water from the brine tank, before the water and brine pass through the resin bed in the normal direction, if co-current, or in the reverse direction, if counter-current. [12] The output of this typically thirty-minute process is discarded through the drain hose.
Furthermore, the Van Dijk study showed no difference between the on-pump and off-pump groups in quality of life, stroke rate, or all-cause mortality at 3 and 12 months. A study by Jenson et al. published in Circulation found no significant difference in the incidence of cognitive dysfunction 3 months after either OPCAB or conventional on-pump CABG.
Cognitive impairment has been reported in up to 80% cases after CABG at discharge and lasts for a year in up to 40% of cases. The cause remains unclear; CPB is an unlikely cause because even in CABG patients without CPB, as in off-pump CABG, and PCI patients, the incidence is the same. [38] [39]
Minimally invasive direct coronary artery bypass (MIDCAB) is a surgical treatment for coronary heart disease that is a less invasive method of coronary artery bypass surgery (CABG). [1] MIDCAB gains surgical access to the heart with a smaller incision than other types of CABG.
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