Related Experiment Videos
Off-pump myocardial revascularization using the Octopus tissue stabilizer system
Predrag Milojević1, Vojislava Nesković, Dragos Stojanović
1Institut za kardiovaskularne bolesti Dedinje, 11040 Beograd, Milana Tepića 1. pmilojevic@sezampro.yu
Medicinski Pregled
|June 10, 2003
Summary
Off-pump coronary artery bypass surgery (OPCAB) using a coronary stabilizer is a safe and effective revascularization method. This technique demonstrated low mortality and morbidity rates in a study of 136 patients.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Cardiac Surgery
Background:
- Off-pump coronary artery bypass surgery (OPCAB) has evolved with new devices and techniques.
- These advancements aim to reduce morbidity and mortality associated with traditional bypass procedures.
Purpose of the Study:
- To evaluate the safety and effectiveness of off-pump coronary artery bypass surgery (OPCAB).
- To assess the impact of using a coronary stabilizer on surgical outcomes.
Main Methods:
- A total of 136 patients underwent OPCAB with fast-track anesthesia.
- The Octopus Medtronic coronary stabilizer was utilized for vessel stabilization.
- Arterial and saphenous vein grafts were employed, with an average of 1.8 anastomoses per patient.
Main Results:
- A low mortality rate of 0.74% and low rates of revision surgery (2.95%) were observed.
- Key complications included arrhythmias (8.09%), pneumothorax (2.21%), and perioperative myocardial infarction (1.47%).
- Early angiography confirmed graft patency in 5.88% of patients.
Conclusions:
- Off-pump coronary artery bypass surgery (OPCAB) is a safe and effective alternative for coronary revascularization.
- The use of a coronary stabilizer enhances the safety and quality of OPCAB procedures.