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Kit V Arom
Robert W Emery
Thomas F Flavin
Vibhu R Kshettry
Patricia Janey
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Asian Cardiovasc Thorac Ann 2002;10:201-205
© 2002 Asia Publishing EXchange Pte Ltd

ORIGINAL CONTRIBUTIONS

Surgical Steps Toward Complete Revascularization in Off-Pump Coronary Bypass

Kit V Arom, MD, Robert W Emery, MD, Thomas F Flavin, MD, Vibhu R Kshettry, MD, Patricia Janey, RN

The John Nasseff Heart Hospital and Minneapolis Heart Institute Minneapolis, Minnesota, USA
For reprint information contact: Kit V Arom, MD Tel: 1 612 863 3982 Fax: 1 612 863 3739 email: karom{at}csa-heart.com Cardiac Surgical Associates, P.A., 920 East 28th Street, Suite 420, Minneapolis MN 55407, USA.
Surgical techniques aimed at complete myocardial revascularization without the use of cardiopulmonary bypass are described. Between January 1998 and June 2000, coronary artery bypass was performed in 3,003 patients; an off-pump technique was used in 676 and cardiopulmonary bypass was employed in 2,327. Patient characteristics, demography, and preoperative risk factors of the two groups were compared retrospectively, and differences in operative variables and postoperative outcomes were analyzed. Using a commercially available suction stabilization device and the surgical and anesthetic techniques described herein, off-pump coronary revascularization was accomplished with results comparable to the on-pump approach.




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