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PubMed · 15383048

Off-pump total arterial revascularization: our experience.

Rubén Fernández Tarrío·José Joaquin Cuenca·Valdemar Gomes·Vicente Campos·José Maria Herrera·Fernando Rodríguez·José Vicente Valle·Francisco Portela·Javier García-Carro·Belén Adrio·Francisco Vázquez·Alberto Juffé
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Abstract

BACKGROUND AND AIM: Off-pump coronary artery bypass grafting with both the internal thoracic arteries, such as the Tector technique, can reduce the morbidity associated with extracorporeal circulation and aortic cross-clamp. The aim of the present study is to describe our experience and the results obtained. METHODS: From April 1998 to December 2003, the off-pump Tector technique was performed on 743 patients, of whom 621 were male (83.5%), with a mean age of 65.3 +/- 9.5 years (23-90). Preoperative risk factors were diabetes mellitus in 29.5% and peripheral vasculopathy in 14.7% of the patients. Angiography showed left main disease in 25.6% and triple-vessel disease in 50.3% of the patients, with a mean ejection fraction of 60%+/- 13% (23-88). Both the internal thoracic arteries were harvested using the skeletonization technique and were anastomosed as "Y" or "T" grafts. Intraoperative graft patency was checked using a Doppler flowmeter. RESULTS: A total of 2028 distal anastomoses were performed, the average being 2.7 (1 to 5) per patient. At least three distal anastomoses were undertaken in 62% of the patients. Postoperative complications included atrial fibrillation in 40 patients (5.4%), myocardial infarction in 24 (3.2%), mediastinitis and reoperation for bleeding in 7 (0.9%) and stroke in 3 (0.4%). Twenty-four patients (3.2%) died in the first month postoperatively. CONCLUSIONS: The off-pump Tector technique appears to be safe, showing a low surgical morbidity.

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AdultAgedCohort StudiesCoronary Artery Bypass, Off-PumpCoronary DiseaseFemaleHumansInternal Mammary-Coronary Artery AnastomosisMaleMiddle AgedTreatment OutcomeJournal Article

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Rubén Fernández Tarrío, José Joaquin Cuenca, Valdemar Gomes, Vicente Campos, José Maria Herrera, Fernando Rodríguez, José Vicente Valle, Francisco Portela, Javier García-Carro, Belén Adrio, Francisco Vázquez, Alberto Juffé. Off-pump total arterial revascularization: our experience.. https://doi.org/10.1111/j.0886-0440.2004.04078.x

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