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Updated: Jul 10, 2026

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock
Published on: May 19, 2022
[Off pump total arterial revascularization--clinical and technical considerations]
L F Dorobanţu1, G Lanzillo, Gh Cerin
1Clinica de Chirurgie Cardiovasculară, Institutul de Boli Cardiovasculare Prof. Dr. C.C.Iliescu, Bucureşti, Romania.
Off-pump coronary artery bypass grafting (OFF CABG) using only arterial grafts is a safe and effective method for complete heart revascularization. This technique minimizes complications and hospital stays, offering a viable surgical option.
Area of Science:
- Cardiovascular Surgery
- Cardiac Surgery Techniques
- Minimally Invasive Cardiac Surgery
Context:
- Integral arterial myocardial revascularization is emerging as a standard in coronary surgery.
- International experience with arterial off-pump coronary artery bypass grafting (OFF CABG) is limited.
- This study reports outcomes from a center specializing in "on pump" total arterial revascularization.
Purpose:
- To evaluate the safety and efficacy of arterial OFF CABG.
- To assess the feasibility of complete arterial revascularization using the OFF CABG technique.
- To report early postoperative outcomes in patients undergoing arterial OFF CABG.
Summary:
- Fifty-eight patients underwent arterial OFF CABG between January 2004 and June 2006, primarily using skeletonized arterial grafts.
- Complete arterial revascularization was achieved in 81.03% of cases, with arterial grafts used in 94.95%.
- No major postoperative complications or deaths were recorded, with short intensive care unit (UCU) and hospital stays.
Impact:
- Arterial OFF CABG is demonstrated as a secure and effective method for complete heart revascularization.
- The technique offers a viable alternative with minimal postoperative complications.
- Findings support the broader adoption of arterial OFF CABG in specialized centers.
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