Subsystem organ function during coronary surgery

Ascione, Raimondo; Al-Ruzzeh, Sharif; Amer, Khalid; Angelini, Gianni D
July 2002
Perfusion;Jul2002, Vol. 17 Issue 4, p295
Academic Journal
Conventional coronary artery bypass grafting (CABG) carries a mortality rate of 1% to 2% in elective patients. However, despite advances in perfusion, anaesthetic, and surgical techniques cardiopulmonary bypass (CPB) is still associated with subsystem dysfunction. Off-pump coronary artery bypass grafting (OPCAB) has recently gained popularity as a potentially more physiological method to maintain the functional integrity of major organ systems. The review of observational reports, case-matched studies and prospective randomized trials seems to suggest that OPCAB surgery reduces post-operative subsystem organ dysfunction when compared with conventional coronary revascularisation.


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