MYOCARDIAL REVASCULARISATION WITHOUT CARDIOPULMONARY BYPASS
J. Bergsland, E. Kabil, H.L. Karamanoukian, E. Mujanović and
General Hospital, Cardiovascular Clinic, University Clinical
Center Tuzla, USA, Bosnia and Herzegovina
This study reviewed with off-pump coronary bypass surgery (OPCAB)
in an established US center and new cardiac center in Bosnia developed
in co-operation with our institution.
Methods: patients operated with OPCAB were included and
result for mortality and morbidity compared. Median sternotomy
was used in almost cases. Heart positioning was achieved with
the "Single Suture Technique" and topical stabilisation with pressure-type
equipment. Transit time flow measurements were used for graft
verification. Data was collected according to NY-state rules (Buffalo)
and ECSUR standards (Tuzla).
Results: Patients operated in the two canters during the
study period were different in preoperative risk-profile, high
in Buffalo and low in Bosnia, Nonetheless, OPCAB results were
excellent in both centers comparing favourably to patients operated
with cardiopulmonary bypass.
Conclusion: The results suggest that all patients needing
myocardial revascularisation are candidates for OPCAB, especially
in high-risk patients and in countries where cost-effectiveness
Myocardial revascularisation; Off-pump; Complications; Mortality.