Off-pump versus conventional coronary artery ... - RM Solutions

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The “Pump Head Paper”• Newman M, Kirchner J, Phillips-Bute B, Gaver V,Grocott H, Jones R, Mark D, Reves J, Blumenthal J(2001). "Longitudinal assessment of neurocognitivefunction after <strong>coronary</strong>-<strong>artery</strong> bypass surgery.". NEngl J Med 344 (6): 395–402
Multi-factorial………• Patient perceptions– PCI (needle poke, risk free)– CABG (Big scar, high risk surgery)• Better preventive care– Risk factors modifications– Lifestyle– Medications (ASA, ACEi, B-blocker, etc)
Page 4 and 5: What percentage of surgical revascu
Page 6 and 7: Core CABG procedures are declining
Page 11 and 12: OPCAB becomes Surgeons’ secret we
Page 13 and 14: • Reduced perioperative morbidity
Page 15 and 16: Early Mortality• Retrospective an
Page 17 and 18: Early Mortality• Randomized trial
Page 19 and 20: Mid-term Mortality• Single center
Page 21 and 22: Perioperative MorbidityOutcome n (N
Page 23 and 24: Early Cognitive Dysfunction• Rand
Page 25 and 26: Renal Failure• No differences in
Page 27 and 28: Completeness of Revascularization -
Page 29 and 30: Completeness of Revascularization -
Page 31 and 32: ROOBY Trial• Primary short term e
Page 33 and 34: ROOBY Trial• Graft Patency:• 64
Page 35 and 36: Discussions• Prospective, randomi
Page 37: Disclosures• I am OPCAB surgeon

Off-pump versus conventional coronary artery ... - RM Solutions

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