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Indication and Safe Strategy

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Off-Pump Coronary Artery Bypass

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Abstract

Off-pump coronary artery bypass grafting is a safe procedure even in the early period of a surgeon’s learning curve, but only if both the surgeon and anesthesiologist set up a decision-making algorithm that includes the careful monitoring of the beating heart and optimized integrated backup with mechanical hemodynamic support. In this chapter, the “routine off-pump” strategy is introduced. Using this strategy, over 98 % of the coronary artery bypass surgery candidates underwent off-pump coronary artery bypass grafting with a rate of intraoperative pump conversion as low as 0–1 %, even with relatively inexperienced surgeons. This strategy enables most coronary artery bypass surgeries to be performed safely and achieves complete revascularization at the end of surgery.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Fukushima Medical University, 1 Hikariga-oka, Fukushima, 960-1295, Japan

    Hitoshi Yokoyama

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  1. Hitoshi Yokoyama
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Correspondence to Hitoshi Yokoyama .

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Editors and Affiliations

  1. Division of Cardiovascular Surgery, Department of Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan

    Tohru Asai

  2. Department of Cardiovascular Surgery, Nippon Medical School, Bunkyo-ku, Tokyo, Japan

    Masami Ochi

  3. Department of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Fukushima, Japan

    Hitoshi Yokoyama

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Yokoyama, H. (2016). Indication and Safe Strategy. In: Asai, T., Ochi, M., Yokoyama, H. (eds) Off-Pump Coronary Artery Bypass. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54986-4_4

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  • DOI: https://doi.org/10.1007/978-4-431-54986-4_4

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54985-7

  • Online ISBN: 978-4-431-54986-4

  • eBook Packages: MedicineMedicine (R0)

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