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Ann Thorac Surg 2000;70:1017-1020
© 2000 The Society of Thoracic Surgeons
a Pinnacle Health System, Harrisburg, Pennsylvania, USA
b Park Nicollet Heart Center, HealthSystem Minnesota, Minneapolis, Minnesota, USA
c Albert Einstein Medical Center, Philadelphia, Pennsylvania, USA
d Cardiac Surgical Associates, Minneapolis, Minnesota, USA
e Medical City Dallas, Dallas, Texas, USA
f Utrecht University Hospital, Utrecht, The Netherlands
Address reprint requests to Dr Hart, Capital Area Cardiovascular Surgical Institute, 423 N 21st St, Camp Hill, PA 17011
e-mail: jchart51{at}earthlink.net
Presented at the Sixth Annual Cardiothoracic Techniques and Technologies Meeting 2000, Ft Lauderdale, FL, Jan 27–29, 2000.
Background. Off-pump coronary bypass may provide a safer form of surgical revascularization by avoiding the unwanted complications of cardiopulmonary bypass, particularly in the increasingly complex patients being referred for operation. This study reviews the entire experience of the Medtronic Octopus System (Medtronic, Minneapolis, MN) for beating heart bypass from 7 surgeons. Demographics, operative procedures, early outcomes, and trends in usage were examined.
Methods. Patients were selected for off-pump procedures by the individual surgeons. Data were entered prospectively into locally maintained databases and then collected for collation and analysis.
Results. A total of 1,582 consecutive Octopus patients were entered, representing the entire Octopus experience of each surgeon. Proportions of off-pump procedures relative to standard bypass increased over time, as did the percentage of patients receiving three or more grafts, 24.6% in 1997 and 55.9% in 1999. A total of 3,653 anastomoses were performed, 1,905 to the left anterior descending system, 837 to the circumflex distribution, and 911 to the right coronary territory. Morbidity was low. Few patients required conversion to cardiopulmonary bypass (2.6%; 0.2% urgently). Permanent stroke occurred in 0.6% and myocardial infarction in 1.2%. Operative mortality was 1%.
Conclusions. Octopus off-pump bypass was demonstrated to be a safe procedure with widening applicability. With experience surgeons tend to apply the system to increasing proportions of their patients and are able to revascularize all coronary territories.
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|
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|
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|
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|
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|
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|
|
|
|
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|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
P. P T. de Jaegere and W. J L Suyker OFF-PUMP CORONARY ARTERY BYPASS SURGERY Heart, September 1, 2002; 88(3): 313 - 318. [Full Text] [PDF]
|
|
|
|
|
|
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|
|
|
|
 |
|
 X. M Mueller and L. K von Segesser Circulatory support for OPCAB procedures Perfusion, July 1, 2002; 17(4): 305 - 312. [Abstract] [PDF]
|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
 D. Van Dijk, E. W. L. Jansen, R. Hijman, A. P. Nierich, J. C. Diephuis, K. G. M. Moons, J. R. Lahpor, C. Borst, A. M. A. Keizer, H. M. Nathoe, et al. Cognitive Outcome After Off-Pump and On-Pump Coronary Artery Bypass Graft Surgery: A Randomized Trial JAMA, March 20, 2002; 287(11): 1405 - 1412. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
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|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
J. A. Wolfe The coronary artery bypass conduit: II. Assessment of the quality of the distal anastomosis Ann. Thorac. Surg., December 1, 2001; 72(6): S2253 - 2258. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Hernandez, W. E. Cohn, Y. R. Baribeau, J. F. Tryzelaar, D. C. Charlesworth, R. A. Clough, J. D. Klemperer, J. R. Morton, B. M. Westbrook, E. M. Olmstead, et al. In-hospital outcomes of off-pump versus on-pump coronary artery bypass procedures: a multicenter experience Ann. Thorac. Surg., November 1, 2001; 72(5): 1528 - 1534. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. van Dijk, A. P. Nierich, E. W.L. Jansen, H. M. Nathoe, W. J.L. Suyker, J. C. Diephuis, W.-J. van Boven, C. Borst, E. Buskens, D. E. Grobbee, et al. Early Outcome After Off-Pump Versus On-Pump Coronary Bypass Surgery: Results From a Randomized Study Circulation, October 9, 2001; 104(15): 1761 - 1766. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. Damiano Jr, H. A. Tabaie, M. J. Mack, J. R. Edgerton, C. Mullangi, W. P. Graper, and S. M. Prasad Initial prospective multicenter clinical trial of robotically-assisted coronary artery bypass grafting Ann. Thorac. Surg., October 1, 2001; 72(4): 1263 - 1269. [Abstract] [Full Text] [PDF]
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