What is on-pump and off-pump CABG?

In off-pump CABG, the area around the blocked coronary artery is stabilized while the surgeon grafts the blood vessel on the pumping heart. Off pump CABG is relatively a newer procedure to On-pump CABG and doesn’t require the use of the cardiopulmonary bypass machine.

What is on-pump heart surgery?

Most coronary bypass surgeries are done through a long incision in the chest while a heart-lung machine keeps blood and oxygen flowing through your body. This is called on-pump coronary bypass surgery. The surgeon cuts down the center of the chest along the breastbone and spreads open the rib cage to expose the heart.

What is a pump assisted CABG?

On-pump beating-heart CABG, which uses cardiopulmonary bypass without either cardioplegic arrest or aortic cross-clamp, has recently been applied in high-risk patients [11–19]. Cardiopulmonary bypass offers enough circulatory support and ensures intra-operative hemodynamic stability more than IABP support does.

How does off-pump CABG work?

Off-pump CABG is one of the procedures that surgeons use to restore blood flow to the coronary arteries. The surgeon takes an artery or a vein from another place in the body. The surgeon then uses the vessel to “bypass” the blocked part of the vessel and restore normal blood flow to the heart.

What percentage of CABG is off pump?

They have reported that about 45% of their CABG practice was performed off-pump, with bimodal distribution of surgeons performing their CABG cases >90% whether off- or on-pump. However, their results show a higher incidence of postoperative myocardial infarction within the CPB group.

How long does off pump CABG take?

Coronary artery bypass graft surgery usually lasts 3 to 6 hours. But it may take longer depending on how many blood vessels are being attached. Blood vessels can be taken from your leg (saphenous vein), inside your chest (internal mammary artery), or your arm (radial artery).

What percentage of CABG procedures are done off pump?

They have reported that about 45% of their CABG practice was performed off-pump, with bimodal distribution of surgeons performing their CABG cases >90% whether off- or on-pump.

How long does off-pump CABG take?

What percent of CABG are done off-pump?

Is off pump bypass safer?

Safer for high-risk cases Most surgeons agree that individuals who are at greatest risk for complications from the heart-lung machine are the most likely to benefit from having bypass surgery performed off pump.

What is the relative risk of complications for on-pump CABG compared with off-pump CABG in this high risk population?

The use of off-pump CABG, as compared with on-pump CABG, significantly reduced the rates of blood-product transfusion (50.7% vs. 63.3%; relative risk, 0.80; 95% CI, 0.75 to 0.85; P<0.001), reoperation for perioperative bleeding (1.4% vs.

Which is a disadvantage of off-pump coronary artery bypass surgery performed on patients with coronary artery disease?

Off-pump bypass surgery is a major operation. Although most people have a good outcome, there are some possible risks: Bleeding. Blood clots, which can lead to stroke or heart attack.