What is the difference between on pump and off pump CABG?
There are two basic ways of performing coronary artery bypass graft surgery (CABG): on pump CABG and off pump CABG. Off pump CABG is relatively a newer procedure to on-pump CABG and does not require the use of the cardiopulmonary bypass machine. On pump CABG is the more traditional method of performing bypass surgery.
What is on pump CABG?
On-pump CABG is a time-honored procedure that is performed while the heart is stopped. The blood supply must be provided to the rest of the body when the heart is stopped.
How long does off pump CABG take?
Off-Pump/Beating Heart procedure, the patient’s associated medical problems, etc, but usually an On-Pump or Off-Pump/Beating Heart surgery will take between 3-6 hours.
What does coming off bypass mean?
Off-pump bypass surgery involves the conventional split of the breastbone but, unlike conventional coronary bypass surgery, does not require stopping the heart or using the heart-lung machine. We use special equipment to stabilize the area of the heart the surgeon is working on.
What vein is used for coronary bypass surgery?
Your doctor may use a vein, called the saphenous vein, from your leg. To reach this vein, a surgical cut will be made along the inside of your leg, between your ankle and groin. One end of the graft will be sewn to your coronary artery. The other end will be sewn to an opening made in your aorta.
How do you wean off of a bypass?
The main goal of weaning from cardiopulmonary bypass (CPB) is a smooth transition from mechanical pump-assisted circulation to spontaneous heart activities with sufficient blood flow to maintain systemic circulation. Before initiation of weaning from the CPB, optimal condition for re-beating should be prepared.
What’s the difference between on pump and off pump CABG?
Coronary artery bypass grafts. There are 2 different methods of doing CABG: the traditional way, which is called the on-pump CABG, and the newer way, which is called the off-pump CABG. Opinion is still divided on which is the better way.
Which is better off pump or on pump surgery?
Among 923 CABG patients, 652 and 271 patients underwent on-pump and off-pump surgery, respectively. Despite a similar extent of disease, off-pump surgery was associated with a lower rate of revascularization of the left circumflex coronary artery (84.1% vs. 90.0%; p = 0.01) and right coronary artery (31.1% vs. 40.6%; p = 0.007).
Can a cardiothoracic surgeon perform both on and off pump CABG procedures?
As cardiothoracic surgeons, we must be able to perform both on- and off-pump CABG procedures. Any practice that uses either approach exclusively is fitting the patient to the operation rather than fitting the operation to the patient.
Which is better off pump or on pump for left main disease?
The authors concluded that among patients with left main disease treated with CABG in the EXCEL trial, off-pump surgery was associated with a lower rate of revascularization of the coronary arteries supplying the inferolateral wall and an increased risk of 3-year all-cause death compared with on-pump surgery.
