Off-pump coronary artery bypass surgery
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Overview
Off-pump coronary artery bypass is a form of coronary artery bypass surgery (CABG) performed without cardiopulmonary bypass (heart-lung machine) as a treatment for coronary heart disease.
Off-pump coronary artery bypass was developed partly to avoid the complications of cardiopulmonary bypass during cardiac surgery. The medical community believed cardiopulmonary bypass caused a post-operative cognitive decline known as postperfusion syndrome (informally called "pumphead"), but research has shown no long-term difference between on and off pump coronary artery bypass.[1]
Off-pump surgery is associated with less blood transfusions, but is more technically challenging. The technique has a steep learning curve, and the quality of the anastomoses is lower, at least until a surgeon has gained much experience. Off-pump surgery remains a useful technique for some more complicated cases, such as people whose aorta is calcified.
See also
- Cardiac surgeon
- Coronary artery bypass surgery (CABG)
- Minimally invasive direct coronary artery bypass surgery (MIDCAB)
- Percutaneous coronary intervention (PCI), a.k.a. angioplasty
References
External links
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
