OFF-PUMP MULTIPLE OR TOTAL ARTERIAL CORONARY REVASCULARIZATION

摘要

Objectives: Off pump TACR/MACR performed in experienced hands has comparable results to on pump TACR/MACR. Period: January-2012 to December-2015. Material and method: 405 patients with two and three vessel coronary artery disease (two & three VCAD) underwent OPCAB at the department of cardiac surgery, Jinnah hospital, Lahore. 73 of them got total or multiple arterial coronary revascularizations. 34 patients (41%) had two VCAD and 47 (59%) had three VCAD. Total arterial revascularization was performed in 70 (95.8%) patients using right internal mammary artery and left internal mammary artery and/or radial artery. 3 (4.10%) patients got multiple arterial grafts using BITA, RA and SVG. Results: There was no death reported in first 30 days post operatively. Deep sternal wound infection occurred in only one patient. The rate of perioperative stroke and renal failure was zero. Two (2.46%) patients had acute MI and 1 patient was reopened due to bleeding. Conclusion: We conclude that early outcome of OPCAB total or multiple arterial coronary revascularizations, in experienced hands, are as safe and effective as ONCAB.