OFF-PUMP CORONARY ARTERY BYPASS

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.


Table of contents (29 chapters)
1.OPCAB Made in Japan: Evidence on Off-Pump Coronary Artery Bypass Grafting from Japan
2.Statistics of OPCAB in Japan
3.Evidence in OPCAB: Critical Appraisal of Recent RCT Based on CABG in Japan
4.Indication and Safe Strategy
5.Approach
6.Intraoperative Management and Anesthesia
7.Controversy: Volume Load vs. Vasopressor
8.Urgent Pump Conversion: When Does It Occur and How Can We Prevent It?
9.Exposure
10.Stabilization
11.Securing the Distal Anastomosis Site: Coronary Artery Occlusion, Shunt, and Blower
12.Graft Planning
13.Controversy: Composite Grafts Versus Individual Grafts
14.Harvesting: Tip and Pitfalls
15.Graft–Coronary Anastomosis in Off-Pump CABG
16.Coronary Endarterectomy and Long Onlay-Patch Grafting
17.OPCAB Proximal
18.Intraoperative Graft Assessment OPCAB Made in Japan
19.Stroke
20.Patient Management OPCAB
21.Redo Operation
22.Combined Surgery (TAA, AAA, or Cancer) Concomitant or Staged Surgeries?
23.Difficult Heart
24.Difficult Coronary OPCAB Made in Japan
25.Off-Pump CABG for Patients with End-Stage Renal Failure
26.How Do We Teach Off-Pump Surgery to the Next Generation?
27.Hybrid Approach (OPCAB+PCI/TAVI/Debranching TEVAR)
28.Robotic Surgery
29.OPCAB Combined Regenerative Surgery