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OPCABOff Pump Coronary Artery Bypass
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His conclusions were that total arterial revascularization with BIMA RA graft in OPCAB is safe and effective in DVD and TVD with low mortality.
Followers of this technique believe that minimized ischemia time improves the hemodynamic stability during the OPCAB and eliminates any rush during the bypass surgery [10-12].
There are several sound reasons for a patient to opt for OPCAB rather than PCI--a lower repeat revascularization rate, vessels unsuitable for stenting--but an expectation of better cognition outcome isn't one of them, Dr.
For high-risk patients, OPCAB reduces mortality, strokes, renal failure and need for transfusions within 30 days, and lowers the risk of in-hospital death.
For example, an analysis of the large Society of Thoracic Surgeons database concluded that risk-adjusted operative mortality and major complication rates were at least 20% lower with OPCAB.
In conclusion, we found that cTnT (Elecsys) as well as cTnI (AxSYM) concentrations in plasma of patients after MIDCAB and OPCAB operations were undetectable in 20% of the cases studied and were only slightly increased in most other patients.
Hemodynamic instability resulting from displacement of the heart during OPCAB was managed actively by the anesthetist with a combination of positioning of the operation table, intravenous fluids and pharmacotherapy.
Seventy-two diabetic patients undergoing OPCAB at our hospital from January 2012 to June 2014 were retrospectively analyzed for AF.
From a pilot study with 12 OPCAB surgery patients including the S group (six patients) and the P group (six patients), a Tnl of 0.
After the extensive risk adjustment, OPCAB patients had a highly significant 17% reduction in mortality, compared with the on-pump population.