title: Off-pump myocardial revascularization using the Octopus tissue stabilizer system.
abstract: Off-pump coronary artery bypass surgery (OPCAB) has changed the approach to contemporary coronary surgery. Development of new surgical devices and techniques has reduced morbidity and mortality during off-pump surgery. From March 2000-April 2002, a total of 136 patients underwent open heart surgery using off-pump technique and fast-track anesthesia at Dedinje Cardiovascular Institute. Octopus Medtronic coronary stabilizer was used for stabilization of targeted vessel. Arterial grafts were used 169 times and saphenous vein 69 times. Average number of anastomoses was 1,830,73 per patient. One patient (0.74%) died. Three patients (2.21%) underwent surgery revision due to postoperative bleeding and one (0.74%) because of graft dysfunction. Perioperative myocardial infarction was registered 2 times (1.47%), pneumothorax 3 times (2.21%), postoperative arrhythmias 11 times (8.09%), transitory ischemic attack once (0.74%) and deep wound infection once (0.74%). Twelve patients (8.82%) required prolonged inotropic support. Angiographies early revealed patent grafts in 8 patients (5.88%). OPCAB is a safe and effective alternative approach to coronary artery revascularization. Use of coronary stabilizer has improved the safety and quality of OPCAB surgery.
authors.affiliation: Institut za kardiovaskularne bolesti Dedinje, 11040 Beograd, Milana Tepića 1. pmilojevic@sezampro.yu
authors.forename: Predrag
authors.initials: P
authors.lastname: Milojević
authors.forename: Vojislava
authors.initials: V
authors.lastname: Nesković
authors.forename: Dragos
authors.initials: D
authors.lastname: Stojanović
authors.forename: Miroslav
authors.initials: M
authors.lastname: Jakovljević
authors.forename: Sava
authors.initials: S
authors.lastname: Nenić
authors.forename: Miodrag
authors.initials: M
authors.lastname: Perić
authors.forename: Dusko
authors.initials: D
authors.lastname: Nezić
authors.forename: Bosko
authors.initials: B
authors.lastname: Dukanović
mesh_terms: D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged