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Ann Thorac Surg 1996;61:63-66
© 1996 The Society of Thoracic Surgeons
Escola Paulista de Medicina, Hospital São Paulo, Disciplina de Cirurgia Cardiovascular, São Paulo, SP, Brazil
Accepted for publication July 26, 1995.
Background. Coronary artery bypass grafting without cardiopulmonary bypass is now an accepted technique of myocardial revascularization. We herein report our total experience with this procedure.
Methods. In a consecutive series of 8,751 patients operated on in our institution for coronary artery disease from 1981 to 1994, 1,274 patients received coronary artery bypass grafting without cardiopulmonary bypass.
Results. Results indicate that the operation can be performed with an acceptable mortality (2.5%), and that all types of arterial conduits can be used. Most commonly the left anterior descending and right coronary arteries were bypassed. The incidence of arrhythmias and of pulmonary and neurologic complications were significantly lower in this group of patients compared with patients receiving coronary artery bypass grafting with cardiopulmonary bypass. Most importantly, there was decreased cost when the procedure was used because no extracorporeal circulation, cardioplegia sets, or other cannulas were used.
Conclusions. We conclude that the continuing use of coronary artery bypass grafting without cardiopulmonary bypass is justified and that, with proper selection of patients, the procedure is safe and cost-effective.
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M. J. Magee, T. M. Dewey, T. Acuff, J. R. Edgerton, J. F. Hebeler, S. L. Prince, and M. J. Mack Influence of diabetes on mortality and morbidity: off-pump coronary artery bypass grafting versus coronary artery bypass grafting with cardiopulmonary bypass Ann. Thorac. Surg., September 1, 2001; 72(3): 776 - 781. [Abstract] [Full Text] [PDF]
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T. M. Dewey, M. J. Magee, J. R. Edgerton, M. Mathison, D. Tennison, and M. J. Mack Off-pump bypass grafting is safe in patients with left main coronary disease Ann. Thorac. Surg., September 1, 2001; 72(3): 788 - 792. [Abstract] [Full Text] [PDF]
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G. Asimakopoulos Systemic inflammation and cardiac surgery: an update Perfusion, September 1, 2001; 16(5): 353 - 360. [Abstract] [PDF]
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P. P. Brown, M. J. Mack, A. W. Simon, S. L. Battaglia, L. G. Tarkington, S. D. Culler, and E. R. Becker Comparing clinical outcomes in high-volume and low-volume off-pump coronary bypass operation programs Ann. Thorac. Surg., September 1, 2001; 72(3): S1009 - 1015. [Abstract] [Full Text] [PDF]
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H. Niinami, Y. Takeuchi, S. Ichikawa, and Y. Suda Partial median sternotomy as a minimal access for off-pump coronary artery bypass grafting: feasibility of the lower-end sternal splitting approach Ann. Thorac. Surg., September 1, 2001; 72(3): S1041 - 1045. [Abstract] [Full Text] [PDF]
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A. M. Calafiore, M. Di Mauro, M. Contini, G. Di Giammarco, M. Pano, G. Vitolla, A. Bivona, R. Carella, and S. D'Alessandro Myocardial revascularization with and without cardiopulmonary bypass in multivessel disease: impact of the strategy on early outcome Ann. Thorac. Surg., August 1, 2001; 72(2): 456 - 462. [Abstract] [Full Text] [PDF]
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M. E. Plomondon, J. C. Cleveland Jr, S. T. Ludwig, G. K. Grunwald, C. I. Kiefe, F. L. Grover, and A. L. Shroyer Off-pump coronary artery bypass is associated with improved risk-adjusted outcomes Ann. Thorac. Surg., July 1, 2001; 72(1): 114 - 119. [Abstract] [Full Text] [PDF]
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K.-B. Kim, C. Lim, H. Ahn, and J.-K. Yang Intraaortic balloon pump therapy facilitates posterior vessel off-pump coronary artery bypass grafting in high-risk patients Ann. Thorac. Surg., June 1, 2001; 71(6): 1964 - 1968. [Abstract] [Full Text] [PDF]
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J. D. Puskas, V. H. Thourani, J. J. Marshall, S. J. Dempsey, M. A. Steiner, B. H. Sammons, W. M. Brown III, J. P. Gott, W. S. Weintraub, and R. A. Guyton Clinical outcomes, angiographic patency, and resource utilization in 200 consecutive off-pump coronary bypass patients Ann. Thorac. Surg., May 1, 2001; 71(5): 1477 - 1484. [Abstract] [Full Text] [PDF]
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C. Detter, H. Reichenspurner, D. H. Boehm, M. Thalhammer, A. Schutz, and B. Reichart Single vessel revascularization with beating heart techniques - minithoracotomy or sternotomy? Eur. J. Cardiothorac. Surg., April 1, 2001; 19(4): 464 - 470. [Abstract] [Full Text] [PDF]
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L. L. Creswell and R. J. Damiano Jr Postoperative atrial fibrillation: An old problem crying for new solutions J. Thorac. Cardiovasc. Surg., April 1, 2001; 121(4): 638 - 641. [Full Text] [PDF]
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M. Caputo, M. H. Chamberlain, F. Ozalp, M. J. Underwood, F. Ciulli, and G. D. Angelini Off-pump coronary operations can be safely taught to cardiothoracic trainees Ann. Thorac. Surg., April 1, 2001; 71(4): 1215 - 1219. [Abstract] [Full Text] [PDF]
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M. Yeatman, M. Caputo, R. Ascione, F. Ciulli, and G. D. Angelini Off-pump coronary artery bypass surgery for critical left main stem disease: safety, efficacy and outcome Eur. J. Cardiothorac. Surg., March 1, 2001; 19(3): 239 - 244. [Abstract] [Full Text] [PDF]
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D. Varghese, M. H. Yacoub, R. Trimlett, and M. Amrani Outcome of non-elective coronary artery bypass grafting without cardio-pulmonary bypass Eur. J. Cardiothorac. Surg., March 1, 2001; 19(3): 245 - 248. [Abstract] [Full Text] [PDF]
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 L. W. Tang, G. D'Ancona, J. Bergsland, A. Kawaguchi, and H. L. Karamanoukian Robotically Assisted Video-Enhanced-Endoscopic Coronary Artery Bypass Graft Surgery Angiology, February 1, 2001; 52(2): 99 - 102. [Abstract] [PDF]
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M. P.R. Watters, R. Ascione, I. G. Ryder, F. Ciulli, A. A. Pitsis, and G. D. Angelini Haemodynamic changes during beating heart coronary surgery with the 'Bristol Technique' Eur. J. Cardiothorac. Surg., January 1, 2001; 19(1): 34 - 40. [Abstract] [Full Text] [PDF]
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M. Guler, K. Kirali, M. E. Toker, N. Bozbuga, S. N. Omeroglu, E. Akinci, and C. Yakut Different CABG methods in patients with chronic obstructive pulmonary disease Ann. Thorac. Surg., January 1, 2001; 71(1): 152 - 157. [Abstract] [Full Text] [PDF]
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D. A. Bull, L. A. Neumayer, J. C. Stringham, P. Meldrum, D. G. Affleck, and S. V. Karwande Coronary artery bypass grafting with cardiopulmonary bypass versus off-pump cardiopulmonary bypass grafting: does eliminating the pump reduce morbidity and cost? Ann. Thorac. Surg., January 1, 2001; 71(1): 170 - 175. [Abstract] [Full Text] [PDF]
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E. Ovrum, G. Tangen, C. Schiott, and S. Dragsund Rapid recovery protocol applied to 5,658 consecutive ""on-pump"" coronary bypass patients Ann. Thorac. Surg., December 1, 2000; 70(6): 2008 - 2012. [Abstract] [Full Text] [PDF]
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 M. G. Gamoso, B. Phillips-Bute, K. P. Landolfo, M. F. Newman, and M. Stafford-Smith Off-Pump Versus On-Pump Coronary Artery Bypass Surgery and Postoperative Renal Dysfunction Anesth. Analg., November 1, 2000; 91(5): 1080 - 1084. [Abstract] [Full Text] [PDF]
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R. Ascione, M. Caputo, G. Calori, C. T. Lloyd, M. J. Underwood, and G. D. Angelini Predictors of Atrial Fibrillation After Conventional and Beating Heart Coronary Surgery : A Prospective, Randomized Study Circulation, September 26, 2000; 102(13): 1530 - 1535. [Abstract] [Full Text] [PDF]
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Ömeroglu S. N., K. Kirali, M. Guler, M. Erdem Toker, and C. Yakut Midterm angiographic assessment of coronary artery bypass grafting without cardiopulmonary bypass Ann. Thorac. Surg., September 1, 2000; 70(3): 844 - 849. [Abstract] [Full Text] [PDF]
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Y. Suematsu, T. Ohtsuka, K. Miyaji, A. Murakami, T. Miyairi, Z. Eyileten, Y. Kotsuka, and S. Takamoto Right heart mini-pump bypass for coronary artery bypass grafting: experimental study Eur. J. Cardiothorac. Surg., September 1, 2000; 18(3): 276 - 281. [Abstract] [Full Text] [PDF]
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V. R. Kshettry, T. F. Flavin, R. W. Emery, D. M. Nicoloff, K. V. Arom, and R. J. Petersen Does multivessel, off-pump coronary artery bypass reduce postoperative morbidity? Ann. Thorac. Surg., June 1, 2000; 69(6): 1725 - 1730. [Abstract] [Full Text] [PDF]
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M. Ricci, H. L. Karamanoukian, R. Abraham, K. Von Fricken, G. D'Ancona, S. Choi, J. Bergsland, and T. A. Salerno Stroke in octogenarians undergoing coronary artery surgery with and without cardiopulmonary bypass Ann. Thorac. Surg., May 1, 2000; 69(5): 1471 - 1475. [Abstract] [Full Text] [PDF]
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T. C. Koutlas, J. R. Elbeery, J. M. Williams, J. F. Moran, N. A. Francalancia, and W. R. Chitwood Jr Myocardial revascularization in the elderly using beating heart coronary artery bypass surgery Ann. Thorac. Surg., April 1, 2000; 69(4): 1042 - 1047. [Abstract] [Full Text] [PDF]
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R. Ascione, C. T. Lloyd, M. J. Underwood, A. A. Lotto, A. A. Pitsis, and G. D. Angelini Inflammatory response after coronary revascularization with or without cardiopulmonary bypass Ann. Thorac. Surg., April 1, 2000; 69(4): 1198 - 1204. [Abstract] [Full Text] [PDF]
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A. Bhan, S. K. Choudhary, A. Mathur, R. Sharma, M. Sahoo, R. Agrawal, and P. Venugopal Surgical myocardial revascularization without cardiopulmonary bypass Ann. Thorac. Surg., April 1, 2000; 69(4): 1216 - 1221. [Abstract] [Full Text] [PDF]
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B. M. Matata, A. W. Sosnowski, and M. Galinanes Off-pump bypass graft operation significantly reduces oxidative stress and inflammation Ann. Thorac. Surg., March 1, 2000; 69(3): 785 - 791. [Abstract] [Full Text] [PDF]
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