Decreased incidence of postoperative stroke following off-pump coronary artery bypass

[...]with OPCAB, avoidance of embolic potential associated with aortic cannulation and decannulation, and the generation of microgaseous and microparticulate emboli from the pump circuitry, significantly decreases cerebral embolic load and improves outcomes. In our own experience with 269 octogenari...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2002-03, Vol.39 (5), p.917-917
Main Authors: Karamanoukian, Hratch L, Donias, Harry W, Bergsland, Jacob
Format: Article
Language:English
Subjects:
Cardiology
Coronary Artery Bypass - adverse effects
Coronary Artery Disease - surgery
Coronary vessels
Heart surgery
Humans
Postoperative Complications
Stroke
Stroke - etiology
Stroke - prevention & control
Veins & arteries
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Summary:[...]with OPCAB, avoidance of embolic potential associated with aortic cannulation and decannulation, and the generation of microgaseous and microparticulate emboli from the pump circuitry, significantly decreases cerebral embolic load and improves outcomes. In our own experience with 269 octogenarians who underwent CABG with the use of CPB or OPCAB techniques, we reported a significantly lower incidence of stroke (0%, 0 of 97) in the OPCAB group compared with an incidence of 9.3% (16 of 172) in the conventional CABG group (7). [...]recently, in the vast majority of patients requiring surgical coronary revascularization, performance of CABG implied the use of CPB.
ISSN:0735-1097
1558-3597
DOI:10.1016/S0735-1097(02)01697-2