OBJECTIVE To compare the clinical, angiographic, neurocognitive, and quality of life outcomes of off-pump coronary artery bypass surgery with conventional coronary artery bypass grafting surgery using cardiopulmonary bypass. DESIGN Randomised controlled clinical trial. SETTING Tertiary cardiothoracic centre in Middlesex, England. PARTICIPANTS 168 patients (27 women) requiring primary isol...

certain benefits are clearly associated with the use of off-pump coronary artery bypass grafting (cabg) as compared with the on-pump cabg. the superiority is more evident in patients with multiple co morbidities including renal failure.we reviewed the medical records of a 67-year-old male with a past medical history that was significant for multiple cardiovascular diseases and new-onset end-sta...

OBJECTIVE To evaluate the changes in cerebral blood flow during awake off-pump coronary artery bypass grafting and compare with the changes during off-pump coronary artery bypass grafting under general anesthesia, using continuous monitoring of regional cerebral oxygen saturation. METHODS The study population comprised 3 groups of patients who had undergone off-pump coronary artery bypass gra...

cardiovascular disease is the leading reason of morbidity in older people. coronary artery bypass graft (cabg) surgery is the most common type of operations in world. this study was designed to characterize comparison of early clinical outcome following on pump vs. off pump in patients over 70 years old with triple vessels disease and severe left ventricle dysfunction. 80 patients were divided ...

In coronary artery surgery the superiority of the internal mammary artery graft in 10-year survival was documented in 1986. In 1999 it was demonstrated that death, reoperation and percutaneous transluminary coronary angioplasty were more frequent in patients undergoing single rather than bilateral internal mammary artery grafting. Today coronary artery bypass grafting surgery is challenged by t...

Coronary artery bypass grafting: on-pump or off-pump? With a growing evidence base surrounding off-pump cardiac surgery, Confluence spoke to Professor Massimo G Lemma, Luigi Sacco University General Hospital, Milan, Italy about how the results of his most recent study investigating on-pump versus off-pump coronary artery bypass surgery in high-risk patients might impact clinical practice. m g L...

Abstract: Coronary artery disease (CAD) is a multifactorial problem. Although hyperlipidemia (HLP), diabetes (DM), and hypertension (HTN) are known as the familial and cardiac risk factors, CABG is rare in the several members of a family. We reported the six members of a family who presented with MI and/or advanced angina pectoris during the 6 years. CABG(Coronary artery bypass graft) considere...

OBJECTIVES To review the evolution of off-pump coronary artery bypass surgery with particular reference to the anaesthetic and perioperative implications. FINDINGS After review of the literature regarding coronary artery bypass grafting, the adverse effects of cardiopulmonary bypass on the various systems are discussed The development and the present status of off-pump coronary artery bypass ...