Off-Pump Coronary Artery Bypass

This book is a valuable resource on the subject of off-pump coronary artery bypass (OPCAB) surgery, which has recently been developed as a promising technique for reducing surgical damage to patients. Because of the increasing number of older patients who are candidates for a coronary artery bypass graft (CABG) operation, less-invasive surgeries are becoming a priority all over the world. Despite some challenges, such as its technical difficulties, emerging questions, and controversies involved, OPCAB surgery in CABG is now the gold standard in Japan. This book, written by OPCAB experts, examines the procedure established and its chief benefits. Its coverage ranges from a careful evaluation of the evidence for and against OPCAB surgery to preoperative and intraoperative management of patients undergoing coronary bypass surgery. It also contains a description of advanced techniques for every aspect of the procedure. The authors[share essential insights into the latest trends in cardiovascular surgery for professionals and residents, presenting detailed descriptions of the exposure of the heart, stabilization of each coronary artery target, construction of distal anastomoses, and other important factors. The book offers an invaluable reference guide for cardiac surgeons, cardiologists, anesthesiologists, and other medical staff in operating rooms around the world. Front Matter....Pages i-xii Front Matter....Pages 1-1 OPCAB Made in Japan: Evidence on Off-Pump Coronary Artery Bypass Grafting from Japan....Pages 3-14 Statistics of OPCAB in Japan....Pages 15-23 Evidence in OPCAB: Critical Appraisal of Recent RCT Based on CABG in Japan....Pages 25-36 Front Matter....Pages 37-37 Indication and Safe Strategy....Pages 39-44 Approach....Pages 45-49 Intraoperative Management and Anesthesia....Pages 51-58 Controversy: Volume Load vs. Vasopressor....Pages 59-66 Urgent Pump Conversion: When Does It Occur and How Can We Prevent It?....Pages 67-70 Exposure....Pages 71-74 Stabilization....Pages 75-86 Securing the Distal Anastomosis Site: Coronary Artery Occlusion, Shunt, and Blower....Pages 87-91 Graft Planning....Pages 93-100 Controversy: Composite Grafts Versus Individual Grafts....Pages 101-109 Harvesting: Tip and Pitfalls....Pages 111-120 Graft–Coronary Anastomosis in Off-Pump CABG....Pages 121-126 Coronary Endarterectomy and Long Onlay-Patch Grafting....Pages 127-130 OPCAB Proximal....Pages 131-135 Intraoperative Graft Assessment OPCAB Made in Japan....Pages 137-149 Stroke....Pages 151-154 Patient Management OPCAB....Pages 155-159 Front Matter....Pages 161-161 Redo Operation....Pages 163-174 Combined Surgery (TAA, AAA, or Cancer) Concomitant or Staged Surgeries?....Pages 175-180 Difficult Heart....Pages 181-186 Difficult Coronary OPCAB Made in Japan....Pages 187-194 Off-Pump CABG for Patients with End-Stage Renal Failure....Pages 195-197 Front Matter....Pages 199-199 How Do We Teach Off-Pump Surgery to the Next Generation?....Pages 201-207 Front Matter....Pages 209-209 Hybrid Approach (OPCAB+PCI/TAVI/Debranching TEVAR)....Pages 211-217 Robotic Surgery....Pages 219-225 OPCAB Combined Regenerative Surgery....Pages 227-233 Back Matter....Pages 235-239 This book is a valuable resource on the subject of off-pump coronary artery bypass (OPCAB) surgery, which has recently been developed as a promising technique for reducing surgical damage to patients. Because of the increasing number of older patients who are candidates for a coronary artery bypass graft (CABG) operation, less-invasive surgeries are becoming a priority all over the world. Despite some challenges, such as its technical difficulties, emerging questions, and controversies involved, OPCAB surgery in CABG is now the gold standard in Japan. This book, written by OPCAB experts, examines the procedure established and its chief benefits. Its coverage ranges from a careful evaluation of the evidence for and against OPCAB surgery to preoperative and intraoperative management of patients undergoing coronary bypass surgery. It also contains a description of advanced techniques for every aspect of the procedure. The authors share essential insights into the latest trends in cardiovascular surgery for professionals and residents, presenting detailed descriptions of the exposure of the heart, stabilization of each coronary artery target, construction of distal anastomoses, and other important factors. The book offers an invaluable reference guide for cardiac surgeons, cardiologists, anesthesiologists, and other medical staff in operating rooms around the world