Elimination of cardiopulmonary bypass improves early survival for multivessel coronary artery bypass patients

Is it time to adopt beating-heart coronary artery bypass grafting? A review of literature

“…In addition, the retrospective study by Magee et al [45] demonstrated a reduction in the frequency of renal failure after Off-pump (2.1% vs. 3.3%, respectively), despite significantly worse preoperative renal function in this group. These findings were consistent with results from other retrospective studies.…”

Patient Selection and Current Practice Strategy for Off-pump Coronary Artery Bypass Surgery

“…Although numerous reports have demonstrated the safety and efficacy of offpump coronary artery bypass and the associated benefits of avoiding CPB, large, randomized trials comparing the two techniques have been logistically difficult due to the reluctance of patients, their referring physicians, and surgeons to participate because of the perceived benefits of off-pump surgery. [7][8][9][10] Through a large retrospective study utilizing prospectively collected data from the Society of Thoracic Surgery database, we sought first to analyze the contemporary use of off-pump surgery in patients undergoing multivessel coronary artery bypass. Second, we sought to determine the benefits in terms of mortality and morbidity associated with beating heart techniques and avoidance of CPB.…”

A cirurgia de revascularização do miocárdio sem circulação extracorpórea minimiza o sangramento pós-operatório e a necessidade transfusional

“…Technological development, especially the use of stabilizers 19 , in addition to surgical experience 20 , allowed the safe treatment of the posterior arteries of the heart 21 , spreading the acceptance of the technique among surgeons and cardiologists. Recently, due to the suggestion that myocardial revascularization without extracorporeal circulation reduces morbidity in the surgical treatment of coronary artery disease, its indications expanded to the following patients: those with multivessel disease 22 , high-risk patients 23 , patients with chronic renal diseases 24 , the elderly 25 , and those with ventricular dysfunction 26 . Although most authors support the hypothesis that myocardial revascularization without extracorporeal circulation is associated with lower morbidity, this is still controversial 27,28 .…”