Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Myocardial revascularization surgery without extracorporeal circulation]

J A Martín Gonzálvez1, J C Vergara Serrano, M A Ulibarrena Sáinz

  • 1Servicio de Medicina Intensiva, Hospital de Cruces, Baracaldo, Vizcaya.

Revista Espanola De Cardiologia
|March 1, 1995
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Chronic stress and psychiatric disorders as risk factors in influenza A].

Medicina intensiva·2014
Same author

[Infra-usage of oseltamivir in Spain].

Medicina intensiva·2010
Same author

[Propionibacterium acnes empyema].

Archivos de bronconeumologia·1997
Same author

[Cardiorespiratory arrest as a reason for admission to the ICU: clinical course and prognostic factors].

Revista de medicina de la Universidad de Navarra·1992
Same author

[Update on and evaluation of an IgG ELISA technique for the diagnosis of human hydatidosis].

Enfermedades infecciosas y microbiologia clinica·1991

Coronary artery surgery without extracorporeal circulation (ECC) is a viable alternative for select patients, offering reduced recovery times and fewer complications. This technique is beneficial for specific coronary artery targets in patients who may not be ideal candidates for traditional ECC surgery.

Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Cardiac Procedures

Context:

  • Coronary artery disease treatment is increasingly common, with most procedures utilizing extracorporeal circulation (ECC).
  • A shift towards alternative surgical methods like off-pump coronary artery bypass (OPCAB) is emerging for selected patient groups.
  • OPCAB is particularly considered for elderly patients with comorbidities and Jehovah's Witnesses due to religious objections to blood transfusions.

Purpose:

  • To evaluate the feasibility and outcomes of coronary artery surgery performed without ECC in a selected patient cohort.
  • To compare the resource utilization and clinical outcomes of off-pump versus on-pump coronary artery bypass grafting.

Summary:

  • Coronary artery surgery without ECC requires specific patient criteria, including a minimum anastomotic diameter of 2 mm and stable hemodynamics.

Related Experiment Videos

  • The technique is effective for revascularizing the left anterior descending, circumflex, or right coronary arteries, but not the posterior descending branch.
  • Outcomes indicate fewer requirements for mechanical ventilation, intensive care unit (ICU) stay, and reduced blood usage compared to ECC procedures.

    • Impact:

    • Off-pump coronary artery bypass surgery presents a valuable alternative for specific patient populations, potentially improving surgical outcomes and resource management.
    • This approach may reduce the physiological stress associated with cardiopulmonary bypass, leading to faster recovery and lower morbidity.
    • Further research can explore expanding the indications and refining the techniques for off-pump coronary artery bypass grafting.