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ISSN (Print): 1574-8871
ISSN (Online): 1876-1038

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Systematic Review Article

Off-pump Techniques of Surgical Myocardial Revascularization

Author(s): Guglielmo Actis Dato* and Marco Picichè

Volume 14, Issue 2, 2019

Page: [116 - 119] Pages: 4

DOI: 10.2174/1574887114666190201112053

Price: $65

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.

Keywords: Cardiopulmonary bypass, collateral circulation, coronary, myocardium, off-pump, revascularization, surgery.

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Graphical Abstract

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