2016
DOI: 10.4236/wjcd.2016.66020
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Role of Intra-Aortic Balloon Pump in Off-Pump Coronary Artery Bypass <br/>—A Vettath Modification

Abstract: Objective: Hemodynamic deterioration during positioning of the heart has been the most critical complication of off-pump coronary artery bypass surgery. Pre-operative use of intra-aortic balloon pump has been shown to prevent this complication in high risk patients. The role of balloon pump in high risk patients has been questioned by our group. We modified the role of balloon pump in our patients, thus avoiding the conversion to cardiopulmonary bypass. Methods: 4063 off-pump coronary bypass surgeries were per… Show more

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Cited by 4 publications
(5 citation statements)
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“…Despite these limitations, our results have improved over the years. Previously, after auditing our results, we noticed that our learning curve for offpump CABG extended beyond the first 500 patients [Vettath 2016]. This can easily be confirmed when looking at Figure 2.…”
Section: Discussionsupporting
confidence: 72%
See 2 more Smart Citations
“…Despite these limitations, our results have improved over the years. Previously, after auditing our results, we noticed that our learning curve for offpump CABG extended beyond the first 500 patients [Vettath 2016]. This can easily be confirmed when looking at Figure 2.…”
Section: Discussionsupporting
confidence: 72%
“…An additional 5 to 7% of patients are considered to have myocardial infarction, stroke, and renal failure requiring dialysis. Early initiation of IABP lead to an improvement in clinical outcome of our patients, with a significant reduction in conversion rate, perioperative MI and renal failure [Vettath 2016]. The standardization of the approach to a patient with ischemic heart disease and how we do off-pump CABG has consistently brought down the operative (30-day) mortality rate of our patients, lowering it to less than 1%, which is superior to 30-day results published in large randomized controlled trials to date [Diegeler 2013;Houlind 2012;Shroyer 2009].…”
Section: E156mentioning
confidence: 84%
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“…Because every patient who undergo OPCAB in our centre has two arterial lines, one in the Radial artery and another in the Femoral artery. The one in the femoral region is exchanged to an IABP using the Seldinger technique [8]. This has been a boon for us, as we are able to place the IABP immediately, and then go on with the grafting without going on the heart lung machine (HLM).…”
Section: Grafting Sequencementioning
confidence: 99%
“…We have been performing the same for over two decades. As one of the pioneers of this technique, we have fabricated, developed, innovated and re-engineered this technique to perform OPCAB in all patients needing CABG (coronary artery bypass grafting) [1]- [7]. We herewith present our recent innovation-A simple indigenous metallic stabilizer (SIMS) which we have used for the past three years.…”
Section: Introductionmentioning
confidence: 99%