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Re-engineering in OPCAB—A Vettath’s perspective

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DOI: 10.4236/wjcd.2013.34A006    4,058 Downloads   5,889 Views Citations

ABSTRACT

OPCAB (off pump coronary artery bypass) has become a preferred technique of coronary revascularization in India, and more so in the East. This technique was restarted by Buffalo and Bennetti who had published their results in 1985. Since then, there has been a great enthusiasm among coronary surgeons to develop and standardize this technique of CABG (coronary artery bypass grafting). In the late nineties, nearly all the coronary centers in India started performing this technique. But, by the early 2000, only a few surgeons continued this practice. Only those who could perform this OPCAB technique in nearly 100% of their patients continued this and the rest of them returned back to the conventional on pump CABG. To attain this result, we had to re-engineer our technique of anesthesia, surgical technique, stabilization, and positioning of the heart to enable us to perform OPCAB in all patients who needed CABG. We have analyzed our last 3000 patients operated by the same surgeon (Dr MPV), in the same center with the same team. As OPCAB was the only procedure performed for coronary revascularization, we have compared our first 1000 patients, with the second 2000 patients that underwent the procedure. Our technique and our results are presented.

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Vettath, M. , Ismail, E. and Kannan, A. (2013) Re-engineering in OPCAB—A Vettath’s perspective. World Journal of Cardiovascular Diseases, 3, 33-44. doi: 10.4236/wjcd.2013.34A006.

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