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Title Off-pump coronary artery bypass / Tohru Asai, Masami Ochi, Hitoshi Yokoyama, editors
Published Tokyo : Springer, [2016]

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Description 1 online resource (xii, 239 pages)
Contents Foreword; Off-Pump Coronary Artery Bypass; Preface; From Gold Standard to Global Standard; Contents; Part I: Current Overview of OPCAB; 1: OPCAB Made in Japan: Evidence on Off-Pump Coronary Artery Bypass Grafting from Japan; 1.1 Introduction; 1.2 Technical Aspects of OPCAB; 1.2.1 Harvesting of the Conduits; 1.2.2 Devices Facilitating OPCAB; 1.2.3 Proximal Anastomosis Devices; 1.2.4 Awake OPCAB; 1.2.5 Revascularization Technique for Diffuse Coronary Lesions; 1.3 Patient Management During OPCAB; 1.3.1 Intraoperative Management; 1.3.2 Pathophysiology During OPCAB
1.4 Intraoperative Graft Evaluations1.4.1 Imaging of Grafts; 1.4.2 Functional Evaluation of Grafts; 1.5 Surgical Outcomes of OPCAB; 1.5.1 Surgical Results of OPCAB Compared to On-Pump CABG; 1.5.2 Patients with Diabetes Mellitus (DM); 1.5.3 Perioperative Stroke; 1.5.4 Perioperative Neuropsychological Dysfunction; 1.5.5 Impact of Preoperative Renal Dysfunction; 1.5.6 Patients on Hemodialysis; 1.5.7 Patients with Left Main Disease (LMD); 1.5.8 Patients with Previous Percutaneous Coronary Intervention (PCI); 1.5.9 Postoperative Atrial Fibrillation (AF); 1.5.10 Quality of Grafting
1.5.11 The Impact of the Use of Bilateral ITA vs. Single ITA1.5.12 Outcomes of OPCAB vs. PCI; 1.5.13 Redo OPCAB; 1.6 Summary; References; 2: Statistics of OPCAB in Japan; 2.1 Introduction; 2.2 Total Number of Coronary Artery Surgeries and Off-Pump CABG Rate; 2.3 Changes in OPCAB Rate of Initial Elective Isolated CABG; 2.4 Surgical Procedures of Initial Elective Isolated CABG; 2.5 Outcome According to Procedures; 2.6 Changes in Mortality of CABG; 2.7 Changes in Mortality According to Procedures: Isolated Initial Elective CABG; 2.8 Number of Grafts According to Surgical Procedures
2.9 Surgical Procedures According to Number of Grafts2.10 Comparison of On-Pump Arrest and Off-Pump According to Anastomosis Site of Coronary Artery: Initial Elective Surgery; 2.11 Graft Selection: Isolated CABG Cases; 2.12 Complication Rate of Cerebral-Vascular Stroke According to Surgical Procedures: Isolated CABG Cases; 2.13 Special Survey for OPCAB in 2012; References; 3: Evidence in OPCAB: Critical Appraisal of Recent RCT Based on CABG in Japan; 3.1 Different Situation of OPCAB in Japan; 3.2 Positive Impact of OPCAB; 3.3 Negative Impact of OPCAB in RCT
3.4 Multicenter Angiographic Analysis of Early Graft Patency in Relation to Graft Material and OPCAB in Japan3.5 Critical Appraisal of Recent RCT in Western Countries; References; Part II: OPCAB Procedures and Management; 4: Indication and Safe Strategy; 4.1 Introduction; 4.2 Who Will Benefit Most from Off-Pump Coronary Bypass Surgery?; 4.3 Indication of Off-Pump CABG: Several Considerations; 4.3.1 Patient Risk-Based Decision-Making; 4.3.2 Graftability-Based Decision-Making; 4.4 Routine Off-Pump Strategy; 4.5 Conclusions; References; 5: Approach; 5.1 Full Sternotomy
Summary 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
Bibliography Includes bibliographical references and index
Notes Vendor-supplied metadata
Subject Coronary artery bypass.
Coronary Artery Bypass -- methods
Coronary Artery Bypass
MEDICAL -- Surgery -- General.
Coronary artery bypass
Form Electronic book
Author Asai, Tohru, editor
Ochi, Masami, editor
Yokoyama, Hitoshi, editor
ISBN 9784431549864
4431549862