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Perioperative Evaluation of Graft Patency in OPCAB

  • Chapter
Minimally Invasive Cardiac Surgery

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

With presently available instrumentation, off-pump coronary artery bypass (OPCAB) grafting via a median sternotomy can now be performed for lesions in virtually any coronary artery with a high degree of patient safety and surgeon comfort. Recent reports have documented excellent short-term outcomes for patients undergoing OPCAB (1,2). Despite multiple clinical studies evaluating clinical outcomes, there remains a paucity of literature evaluating the patency of grafts constructed by OPCAB techniques. Although the introduction of epicardial stabilizers has improved the accuracy with which distal anastomoses on the beating heart can be constructed, there has been concern that the technical difficulties of performing OPCAB could possibly increase the risk of technical anastomotic failure (3). This chapter reviews both the intraoperative and postoperative methods and outcomes of anastomotic evaluation for patients undergoing off-pump coronary artery surgery.

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Authors
  1. Vinod H. Thourani MD
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  2. John D. Puskas MD, MSc
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Editors and Affiliations

  1. Newark Beth Israel Medical Center, Newark, NJ, USA

    Daniel J. Goldstein MD

  2. New York Presbyterian Hospital, New York, NY, USA

    Mehmet C. Oz MD

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Thourani, V.H., Puskas, J.D. (2004). Perioperative Evaluation of Graft Patency in OPCAB. In: Goldstein, D.J., Oz, M.C. (eds) Minimally Invasive Cardiac Surgery. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-416-0_13

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  • DOI: https://doi.org/10.1007/978-1-59259-416-0_13

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-400-5

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