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Coronary artery bypass on the beating heart with the Octopus: a North American experience

T H Spooner1, P E Dyrud, B K Monson

  • 1Park Nicollet Clinic, HealthSystem Minnesota, Minneapolis, USA.

The Annals of Thoracic Surgery
|October 13, 1998
PubMed

Insights

Minimally invasive coronary artery bypass grafting using the Octopus system on a beating heart showed no mortality and shorter hospital stays. Short-term results were comparable to traditional cardiopulmonary bypass methods.

Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Procedures
  • Medical Devices

Background:

  • Minimally invasive coronary artery bypass grafting (CABG) techniques are debated.
  • This study evaluates the Medtronic Octopus Tissue Stabilization System for beating heart CABG.

Purpose of the Study:

  • To compare outcomes of beating heart CABG using the Octopus system with standard cardiopulmonary bypass (CPB).

Main Methods:

  • Eighty-nine patients underwent single or multiple vessel bypass using the Octopus system.
  • Outcomes including complications, length of stay, and functional status were assessed.
  • Follow-up averaged 162.3 days, with selective postoperative stress testing and angiograms.

Main Results:

  • Eighty-three of 89 patients completed surgery without CPB using the Octopus system, with no mortality.
  • Morbidities were similar to a CPB group (369 patients).
  • The Octopus group experienced a significantly shorter postoperative length of stay (p = 0.005).

Conclusions:

  • The Octopus system offers predictable and reproducible myocardial immobilization.
  • Short-term outcomes of beating heart CABG with the Octopus system are comparable to standard CPB.
Abstract

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