Coronary artery bypass surgery cardiopulmonary bypass
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Synonyms and keywords:
Overview
Cardiopulmonary Bypass in CABG Patients
2021 ACA Revascularization Guideline
| Class 2a Recommendation, Level of Evidence: B-R [1][2][3] |
| When significant calcification of the aorta is present, usage of techniques such as off-pump techniques or beating heart (to avoid aortic manipulation) is rational to reduce the perioperative stroke incidence when performed by experienced surgeons. |
| Class 2b Recommendation, Level of Evidence: B-R [1][3][4][5][6][7] |
| Utilizing off-pump surgery could be rational for patients with significant pulmonary disease in order to decrease perioperative risk when performed by experienced surgeons. |
References
- ↑ 1.0 1.1 Writing Committee Members. Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM; et al. (2022). "2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines". J Am Coll Cardiol. 79 (2): e21–e129. doi:10.1016/j.jacc.2021.09.006. PMID 34895950 Check
|pmid=value (help). - ↑ Lamy A, Devereaux PJ, Prabhakaran D, Taggart DP, Hu S, Paolasso E; et al. (2012). "Off-pump or on-pump coronary-artery bypass grafting at 30 days". N Engl J Med. 366 (16): 1489–97. doi:10.1056/NEJMoa1200388. PMID 22449296.
- ↑ 3.0 3.1 Smart NA, Dieberg G, King N (2018). "Long-Term Outcomes of On- Versus Off-Pump Coronary Artery Bypass Grafting". J Am Coll Cardiol. 71 (9): 983–991. doi:10.1016/j.jacc.2017.12.049. PMID 29495998.
- ↑ Al-Ruzzeh S, George S, Bustami M, Wray J, Ilsley C, Athanasiou T; et al. (2006). "Effect of off-pump coronary artery bypass surgery on clinical, angiographic, neurocognitive, and quality of life outcomes: randomised controlled trial". BMJ. 332 (7554): 1365. doi:10.1136/bmj.38852.479907.7C. PMC 1476725. PMID 16740529.
- ↑ Angelini GD, Taylor FC, Reeves BC, Ascione R (2002). "Early and midterm outcome after off-pump and on-pump surgery in Beating Heart Against Cardioplegic Arrest Studies (BHACAS 1 and 2): a pooled analysis of two randomised controlled trials". Lancet. 359 (9313): 1194–9. doi:10.1016/S0140-6736(02)08216-8. PMID 11955537.
- ↑ Houlind K, Kjeldsen BJ, Madsen SN, Rasmussen BS, Holme SJ, Nielsen PH; et al. (2012). "On-pump versus off-pump coronary artery bypass surgery in elderly patients: results from the Danish on-pump versus off-pump randomization study". Circulation. 125 (20): 2431–9. doi:10.1161/CIRCULATIONAHA.111.052571. PMID 22523305.
- ↑ Lamy A, Devereaux PJ, Prabhakaran D, Taggart DP, Hu S, Paolasso E; et al. (2013). "Effects of off-pump and on-pump coronary-artery bypass grafting at 1 year". N Engl J Med. 368 (13): 1179–88. doi:10.1056/NEJMoa1301228. PMID 23477676.