Myocardial revascularization without extracorporeal circulation; Why hasn't it convinced yet?
Ann Card Anaesth
; 20(2): 219-225, 2017.
Article
em En
| MEDLINE
| ID: mdl-28393784
Extracorporeal circulation has led to a great development in cardiovascular surgery during the last five decades. Its time-proven efficacy and safety have made on-pump coronary artery bypass grafting (CABG) the gold standard method of surgical revascularization. However, coronary revascularization on cardiopulmonary bypass and the accompanying aortic manipulation are related to plenty of deleterious complications. Therefore, off-pump CABG surgery was established to avoid complications. Nevertheless, despite the initial enthusiasm on this technique, only 20% of myocardial revascularization procedures worldwide are performed off-pump. Not only are off-pump cardiac procedures more technically difficult but also they do not provide better results in terms of graft patency, completeness of revascularization, repeat revascularization requirement, cost, and quality of life. Completeness of revascularization and anastomotic quality should not be compromised to avoid cardiopulmonary bypass.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ponte de Artéria Coronária sem Circulação Extracorpórea
/
Circulação Extracorpórea
/
Revascularização Miocárdica
Aspecto:
Patient_preference
Limite:
Humans
Idioma:
En
Revista:
Ann Card Anaesth
Ano de publicação:
2017
Tipo de documento:
Article