Off-Pump Myocardial Revascularization: Critical Analysis of 23 Years’ Experience in 3,866 Patients

Buffolo, Ênio; Branco, João Nelson Rodrigues; Gerola, Luís Roberto; Aguiar, Luciano F.; Teles, Carlos Alberto; Palma, José Honório; Catani, Roberto

doi:10.1016/j.athoracsur.2005.07.032

Cited by 34 publications

(39 citation statements)

References 37 publications

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“…Sin embargo, no todos los grupos la han adoptado y su uso varía entre cirujanos, entre centros y entre países. Entre los argumentos para su no uso destacan la experiencia y preferencias del cirujano, la dificultad técnica de abordar todas las arterias (especialmente la pared lateral), la anatomía coronaria (vasos intramiocárdicos, finos o calcificados), o técnicas de revascularización complejas, como el uso exclusivo de puentes arteriales 7,8 .…”

Section: Discussionunclassified

“…No se ha demostrado un beneficio en la mortalidad en pacientes de bajo riesgo, pero existirían beneficios del uso de esta técnica en algunos grupos, tales como aquellos con alto riesgo de ac-cidentes neurológicos, portadores de enfermedad ateroesclerótica severa de la aorta, insuficiencia renal, enfermedad pulmonar crónica, edad avanzada y enfermedad vascular periférica 8,[18][19][20][21] .…”

Section: Discussionunclassified

“…Actualmente, se estima que entre 20 y 30% de las cirugías coronarias se pueden realizar de este modo [7][8][9] . El registro de 2009 de la base de datos de la Society of Thoracic Surgeons, en Estados Unidos de Norteamérica, que incluyó aproximadamente 1.400.000 cirugías coronarias, mostró que 21% de esas cirugías se realizaron sin CEC 10 .…”

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Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients

González

Stockins

et al. 2013

Rev. méd. Chile

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Section: Discussionunclassified

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Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients

González

Stockins

et al. 2013

Rev. méd. Chile

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“…The use of minimally invasive surgical techniques, such as cardiac surgery without CPB, appeared then as an alternative especially in elderly patients with multiple cardiac artery obstructions, and other comorbidities [35][36][37][38]. Although many clinical reports relate well with these mini-invasive techniques, there are specific contraindications to be considered, such as cardiac dilatation, reoperation, pericarditis and need for cardiac remodeling [35][36][37][38].…”

Section: Advantages and Limitations Of The Use Of The Cpbmentioning

confidence: 99%

“…Although many clinical reports relate well with these mini-invasive techniques, there are specific contraindications to be considered, such as cardiac dilatation, reoperation, pericarditis and need for cardiac remodeling [35][36][37][38].…”

Section: Advantages and Limitations Of The Use Of The Cpbmentioning

confidence: 99%

Os leucócitos e a resposta inflamatória na lesão de isquemia-reperfusão

Francischetti¹,

Moreno²,

Scholz³

et al. 2010

Rev Bras Cir Cardiovasc

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The events of ischemia-reperfusion injury trigger a systemic inflammatory response that can lead to cellular damage and even organ failure. Such effects are noted in the post-operative recovery, especially with the use of cardiopulmonary bypass. Nowadays, we know that leukocytes play an important role in this process. Therefore, this study addresses the role of leukocytes in the pathophysiology of ischemia-reperfusion injury and activation of inflammatory cascades through this process and seeks to help in understanding these mechanisms as well as bringing contributions on the therapeutic approaches that may mitigate them. This retrospective review was performed from scientific papers published over the past ten years, in Portuguese and English, indexed in international databases of Medline, SciELO and related classical texts. The descriptors investigated were: ischemiareperfusion, leukocytes, inflammatory response, cardiopulmonary bypass, adverse effects and apoptosis.Keywords: Cardiopulmonary bypass. Leukocytes. Ischemia. Reperfusion injury. ResumoOs eventos de isquemia-reperfusão desencadeiam uma resposta inflamatória sistêmica que pode levar a lesões celulares e até falência de órgãos. Tais repercussões são notadas no pós-operatório de cirurgias, em especial, com o uso de circulação extracorpórea. Sabe-se, atualmente, que os leucócitos exercem importante papel neste processo. Assim, este estudo aborda o papel dos leucócitos na fisiopatologia das lesões de isquemia-reperfusão e a ativação das cascatas inflamatórias por esse processo e procura auxiliar na compreensão destes mecanismos assim como trazer contribuições acerca das abordagens terapêuticas que possam atenuá-los. Esta revisão bibliográfica retrospectiva foi realizada a partir de documentos científicos publicados nos últimos dez anos, em português e inglês, indexados em bases de dados internacionais Medline e SciELO e de textos clássicos relacionados. Os descritores pesquisados foram: isquemia-reperfusão, leucócitos, resposta inflamatória, circulação extracorpórea, efeitos adversos e apoptose.Descritores: Circulação extracorpórea. Leucócitos. Isquemia. Traumatismo por reperfusão. FRANCISCHETTI, I ET AL -Leukocytes and the inflammatory response in ischemia-reperfusion injuryRev Bras Cir Cardiovasc 2010; 25(4): 575-584

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Suture‐mediated closure of a patent foramen ovale during surgery without cardiopulmonary bypass

Lee

Torre

Carrozza

2006

Cathet Cardio Intervent

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A patent foramen ovale (PFO) is associated with an increased risk of recurrent ischemic strokes and transient ischemic attacks due to paradoxical emboli in patients with prior neurological events. We report a case of a surgical suture-mediated of a PFO closure without cardiopulmonary bypass in a patient with recurrent cerebral ischemic events, who was intolerant of medical therapy, was a poor candidate for catheter-based PFO closure, and presented as a potentially high risk for poor wound healing from traditional surgical closure.

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Off-Pump Myocardial Revascularization: Critical Analysis of 23 Years’ Experience in 3,866 Patients

Cited by 34 publications

References 37 publications

Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients

Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients

Os leucócitos e a resposta inflamatória na lesão de isquemia-reperfusão

Suture‐mediated closure of a patent foramen ovale during surgery without cardiopulmonary bypass

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