Off-pump Techniques of Surgical Myocardial Revascularization

Author:

Dato Guglielmo Actis1,Picichè Marco2

Affiliation:

1. Cardiac Surgery Department, Mauriziano Hospital, Largo Turati, 10131, Turin, Italy

2. Cardiac Surgery Department, Aulss8 Berica, San Bortolo Hospital, Via F. Rodolfi 37, 36100, Vicenza, Italy

Abstract

Background:Before the advent of CABG, standardized in the late '60s by Favaloro and Effler, patients with myocardial ischemia underwent indirect and heterogeneous off-pump methods of myocardial revascularization.Methods & Results:Indirect revascularization, such as periaortic nerve plexus interruption, Vineberg operation, Sen procedure and, less remotely, TMR Laser and stem cell transplantation, represented some of the ways to achieve myocardial revascularization. Nowadays, direct coronary revascularization is the only established technique and may be performed either on-pump or off-pump.Conclusion:The comparison of off-pump and on-pump myocardial revascularization paved the way to an endless debate between the advantages and disadvantages of each technique. In this article, we review the old and current off-pump approaches of surgical myocardial revascularization.

Publisher

Bentham Science Publishers Ltd.

Subject

Pharmacology,General Medicine

Reference33 articles.

1. Amano J, Kuwano H, Yokomise H. Thoracic and cardiovascular surgery in Japan during 2011: Annual report by The Japanese Association for Thoracic Surgery.

2. Favaloro RG. Saphenous vein graft in the surgical treatment of coronary artery disease. Operative technique.

3. Picichè M. The history of myocardial revascularization before theadvent of cardiopulmonary bypass. In: Picichè M, Ed. Dawn andEvolution of Cardiac Procedures: Research Avenues in CardiacSurgery and Interventional Cardiology.

4. Beck CS. The development of a new blood supply to the heart by operation.

5. O’Shaughnessy L. The pathology and surgical treatment of cardiac ischemia.

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