[Off pump total arterial revascularization--clinical and technical considerations].
Integral arterial myocardial revascularization seems to become the standard method in coronary surgery, but the international experience is still limited. We are communicating our results in arterial off pump coronary artery grafting (OFF CABG) in a centre specialized in "on pump" total arterial revascularisation. Between January 2004 and June 2006 we performed off pump CABG in 58 patients, using skeletonized arterial grafts; the vein grafts was rarely used. In 94.95% of cases we used only arterial grafts, and we achieved complete arterial revascularization in 47 (81.03%) of cases. We didn't noted major postoperative complications, the mean UCU stay was 1.7 days, mean hospital stay was 7.3 days, and no postoperative deaths were noted. The off pump CABG using arterial grafts is a secure method, without postoperative complications, which offers viable solutions of complete revascularization of the heart.
Dorobanţu
L F
LF
Clinica de Chirurgie Cardiovasculară, Institutul de Boli Cardiovasculare Prof. Dr. C.C.Iliescu, Bucureşti, Romania.
Lanzillo
G
G
Cerin
Gh
G
Casalino
S
S
Stelian
E
E
Novelli
E
E
Diena
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D047549:Coronary Artery Bypass, Off-Pump; D003324:Coronary Artery Disease / Q000601:surgery*; D005260:Female; D024405:Gastroepiploic Artery / Q000637:transplantation; D006801:Humans; D007558:Italy; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation; D008875:Middle Aged; D009204:Myocardial Revascularization / Q000379:methods*; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome