文章基本信息

标题：Current strategies in surgical myocardial revascularization: Indian perspective
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作者：Sameer Kumar ; PA Deshmukh ; Chetan R Tikar 等
期刊名称：Journal of Marine Medical Society
印刷版ISSN：0975-3605
电子版ISSN：2589-1235
出版年度：2013
卷号：15
期号：1
页码：24-31
DOI：10.4103/0975-3605.203268
语种：English
出版社：Medknow Publications
摘要：Coronary Artery Bypass Grafting (CABG) is the treatment option for Left Main and multi vessel coronary artery disease.Newer techniques and grafting strategies have been introduced in the last two decades to combat the stent surge.Ofpump coronary artery bypass (OPCAB or beating heart bypass surgery) is widely performed in corporate hospitals in our country with use of multiple arterial conduits (Total Arterial Rev ascularisation).This practice of OPCAB has been largely abandoned in the western countries as it is not supported by current av ailable evidence.Newer techniques lilke robotic surgery,endoscopic bypass surgery (TECAB),anastomotic devices are expensive and have limited application in our country.This article reviews the available current ev idence on this subject,highlights the current practice in private hospitals and the reasons thereof in India and outines the strategy being adopted in AFMS.A retrospective analysis w as carried out of 172 patients who underwent CABG at INHS Asvini between 01 Jan 2008 and 31 May 2013.39% had Left Main Coronary artery disease,85% patient had triple vessel disease,56% were diabetics,12% had undergone stenting in recent past.Beating heart strategy was used in 10%,average no of grafts per patient was 2.3 with LIMA and Radial artery being used as a conduit in 84% and 4% respectively.4.6% patients succumbed in post- operative period.
关键词：Competitive flow;Off pump coronary artery bypass (OPCAB);Total arterial revascularisation (TAR)