Is coronary artery bypass grafting under extracorporeal circulation the only technic that assures complete myocardial revascularization? Pros and cons

P R Soltoski; A L Panos; J Bergsland; T A Salerno

doi:10.1016/s0300-8932(00)75097-4

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Journal article

Is coronary artery bypass grafting under extracorporeal circulation the only technic that assures complete myocardial revascularization? Pros and cons

P R Soltoski, A L Panos, J Bergsland and T A Salerno

Revista española de cardiologia, Vol.53(3), pp.312-315

03/2000

DOI: 10.1016/s0300-8932(00)75097-4

PMID: 10712962

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Abstract

Like other technical advances in medicine, the initial phase of rejection of off-pump revascularization has given way to its acceptance with some limitations. Today's main concern is whether the technique can be safely applied to access all coronary arteries, specially the postero-lateral vessels of the heart. We believe that off-pump CABG has proven to be an excellent alternative to the standard revascularization techniques avoiding the risks and complications of cardiopulmonary bypass (CPB). It can be applied to any case with minimal incidence of conversions thus avoiding the complications of CPB. In this debate we describe our technique, discuss our experience with complete myocardial revascularization, and suggest that the CPB machine should be a readily available tool for more complex cases rather than the current concept that it is an indispensable element for myocardial revascularization.

Coronary Artery Bypass - methods

Coronary Artery Bypass - instrumentation

Extracorporeal Circulation - methods

Humans

Extracorporeal Circulation - instrumentation

Details

Title: Subtitle: Is coronary artery bypass grafting under extracorporeal circulation the only technic that assures complete myocardial revascularization? Pros and cons
Creators: P R Soltoski - Division of Cardiothoracic Surgery, VAMC, Kaleida Health System and State University of New York at Buffalo, Buffalo, NY, USA
A L Panos
J Bergsland
T A Salerno
Resource Type: Journal article
Publication Details: Revista española de cardiologia, Vol.53(3), pp.312-315
Publisher: Spain
DOI: 10.1016/s0300-8932(00)75097-4
PMID: 10712962
ISSN: 0300-8932
eISSN: 1579-2242
Alternative title: Es el injerto aortocoronario bajo circulación extracorpórea la única técnica que asegura la revascularización miocárdica completa? Pros y contras
Language: Spanish
Date published: 03/2000
Academic Unit: Surgery; Cardiothoracic Surgery
Record Identifier: 9984051501902771

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