Controversy: Composite Grafts Versus Individual Grafts
Fig. 13.1 Left internal thoracic artery is grafted to the left anterior descending artery. The right internal thoracic artery is grafted to the circumflex artery We usually use in situ…
Evidence in OPCAB: Critical Appraisal of Recent RCT Based on CABG in Japan
Fig. 3.1 Bypass site and graft arrangement Overall bypass occlusion rate was 3.1 % (366/11,968). Graft stenosis rate was 1.9 %. Overall bypass occlusion rate was 2.1 % in LITA,…
Graft Planning
Fig. 12.1 Three in situ arterial grafts: left IMA, right IMA, and right GEA Fig. 12.2 Two mammary arteries: the skeletonized RIMA is long enough to reach the distal LAD…
How Do We Teach Off-Pump Surgery to the Next Generation?
Fig. 26.1 Procedural components of OPCAB 26.3.2.1 Exposure (Patient and Heart Positioning) Trainees should first become familiar with the technique of exposure of the target coronary arteries with simultaneous maintenance…
Patient Management OPCAB
OPCAB OPCAB Postoperative heparin (−) Postoperative heparin (+) N = 412 N = 193 Total CVA 8 (1.9 %) 1 (0.5 %) Intraoperative 0 0 Incidence of CVA Postoperative 8 1 Incidence of…
Hybrid Approach (OPCAB+PCI/TAVI/Debranching TEVAR)
Fig. 27.1 Preoperative enhanced 3-dimensional computed tomography (3DCT) shows the precise course of both internal mammary artery and a left anterior descending artery 27.3.2 Percutaneous Coronary Intervention In single-stage hybrid…
Intraoperative Management and Anesthesia
1. Continuous infusion of propofol and remifentanil is recommended for maintenance of anesthesia 2. Pulmonary artery catheter is a useful monitoring system while the heart is in a vertical position…
Securing the Distal Anastomosis Site: Coronary Artery Occlusion, Shunt, and Blower
Fig. 11.1 Coronary occluder® (Sumitomo Bakelite Co., Ltd.) 11.2 Coronary Artery Shunt Temporary coronary occlusion in OPCAB is an easy way to obtain an optimal operative field without any disturbing…
Redo Operation
Characteristics Value Male/female 24/13 Mean age (years) 71.6 ± 8.1 Diabetes mellitus 22 (59 %) Dyslipidemia 23 (62 %) Hypertension 34 (92 %) Smoking 20 (54 %) Cerebrovascular accident 5 (14 %)…
Off-Pump CABG for Patients with End-Stage Renal Failure
© Springer Japan 2016Tohru Asai, Masami Ochi and Hitoshi Yokoyama (eds.)Off-Pump Coronary Artery Bypass10.1007/978-4-431-54986-4_25 25. Off-Pump CABG for Patients with End-Stage Renal Failure Masami Ochi1 (1) Department of Cardiovascular Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603,…
