Bioscience Chapter Database :: 3653 Chapters Now Online

Chapter category: Heart

Systematic OPCAB Surgery for Multivessel Disease With the CoroNeo Cor-Vasc Device

This chapter appears in the following book:

Off-Pump Coronary Artery Bypass Surgery

Edited by: Raymond Cartier
ISBN: 1-58706-075-2
» Get more information about this book at landesbioscience.com «

Chapter authors:
Raymond Cartier


[+] view image
Introduced in the mid-1960s for single vessel, OPCAB surgery is currently applicable to multivessel disease.1-4 The advent of mechanical stabilizers has been, without any doubt, a giant leap in the evolution of this technique. Needless to say that 40 years of collective experience with the coronary artery grafting technique have contributed to settling the modern foundation of OPCAB surgery, allowing its use in a majority of patients.5 Moreover, aging of the surgical population and the more aggressive use of coronary angioplasty have increased the surgical challenge. Surgeons are tempted to reconsider less invasive surgical approaches to cope with these new rules. Over the last few years, several randomized trials have been performed and more than 12,000 cases from the Society of Thoracic Surgery database have been reported and published. Avoidance of cardiopulmonary bypass (CPB) is beneficial for several reasons but is indubitably more demanding technically. This is an overview of our experience with the systematic use of OPCAB surgery along with a recent literature review on the topic.

» Access chapter for $19



Additional chapters from this book:

Principles of Stabilization and Hemodynamics in OPCAB Surgery

Raymond Cartier

Stabilization of the myocardium during coronary grafting remains a major task in OPCAB surgery. In the early beginning, only the anterior territory of the heart was targeted and acceptable rudimenta...

Understanding the Mechanisms of Hemodynamic and Echocardiographic Changes during OPCAB Surgery

Pierre Couture, Andre Denault, Patrick Limoges, Peter Sheridan and Denis Babin

Coronary artery bypass grafting (CABG) on the beating heart has become a widely applied procedure. OPCAB grafting is quite attractive because of the obvious advantages of avoiding cardiopulmonary by...

Historical Considerations

Raymond Cartier

Recently, performing coronary artery surgery on the beating heart received prime attention even though the concept is evidently not a new one. In 1910, Alexis Carrel (Fig. 1) was the first to propos...

Sutureless Coronary Artery Bypass Grafting: Experimental and Clinical Progress

Kenton J. Zehr

The vision of vascular surgery became clearer in 1902, when Alexis Carrel described his triangulation technique for suturing blood vessels together.1 He experimented with vessels of many sizes and t...

Effects of Vascular-Interrupting and Hemostatic Devices on Coronary Artery Endothelial Function in Beating Heart Coronary Artery Bypass Surgery

Roland G. Demaria and Louis P. Perrault

Coronary artery bypass grafting was first conceived and experimented on by the French Nobel Prize winner in Medicine Alexis Carrel at the beginning of the previous century. 1 Sabiston, in 1962, perf...

Cardiopulmonary Bypass and Inflammation

Francois Dagenais

In the 1920s, Brukhonenko was the first to advance the concept of total body perfusion with removal of the heart.1 However, the development of a true heart-lung machine could not be fully explored u...

The Future of Coronary Artery Surgery: Quo Vadimus?

Ray C.-J. Chiu

As Dr. Paul Cartier vividly described in the Foreword of this book, there has been great progress in coronary artery surgery in the past half century. Thanks to the courageous and ingenious efforts ...

OPCAB Surgery in High Risk-Patients

Gengarr Apoo and Raymond Cartier

The advent of cardiopulmonary bypass (CPB) circulation in the past half century has revolutionized the field of cardiac surgery. Although CPB has been associated with very low morbidity, its side-ef...

Cerebral Complications Following Coronary Artery Bypass Grafting Surgery

Marzia Leache and Raymond Cartier

Cerebral complications constitute the leading cause of morbidity and disability after heart surgery. Although many cerebral deficits resolve with time, others remain a major handicap with devastatin...

Systematic OPCAB Surgery for Multivessel Disease With the CoroNeo Cor-Vasc Device

Raymond Cartier

Introduced in the mid-1960s for single vessel, OPCAB surgery is currently applicable to multivessel disease.1-4 The advent of mechanical stabilizers has been, without any doubt, a giant leap in the ...

Indications and Surgical Strategies for OPCAB

Nicolas Durrleman and Raymond Cartier

Since its reintroduction in the late 1990s, OPCAB surgery has been adopted by the inter national community in a proportion fluctuating from 1% to 98%.1,2 This large vari ability clearly reflects an ...

Potential Benefit of OPCAB Surgery

Marzia Leache and Raymond Cartier

Since the introduction of the extra-corporeal circulation (ECC) in the late fifties, its use has been seen as a necessary evil to perform surgery on the heart. The systemic inflamma tory reaction ge...


SIGN IN

Email:


Password:


lost password?




[ Home | Authors | Editors | Custom Books | Chapter Reprints | Subscribe | Contact | Biotoons ]