Prospective evaluation of patency and early experience utilizing an automated distal anastomosis device (C-port).

Background: : In November 2005, a new automated distal anastomotic device (C-Port) for coronary artery bypass grafting (CABG) was cleared by the FDA for use in the United States. This study represents a prospective evaluation of our early experience using the device with graft patency assessment determined by 64 slice multidetector row computed tomography angiography (64CT).

Materials And Methods: : Patients undergoing coronary artery bypass were evaluated preoperatively by cine angiography for possible use of the C-Port system.

On-Pump Beating Heart Surgery Offers an Alternative for Unstable Patients Undergoing Coronary Artery Bypass Grafting.

Abstract Background: Cardiac surgery has expanded the available approaches to aortocoronary artery bypass grafting to include approaches from minimally invasive surgery to full sternotomy. The heart can be arrested, left beating, or assisted with a right ventricular assist device or cardiopulmonary bypass pump. We have examined the 4 surgical modes that we use routinely in our large multisurgeon practice to determine our selection biases and the outcomes of the different techniques.

Improved outcomes in coronary artery bypass grafting with beating-heart techniques.

Objective: Although improved outcomes for selected patients by elimination of cardiopulmonary bypass have been demonstrated, a benefit for all patients undergoing coronary artery bypass grafting by all surgeons has yet to be definitively proved.

Methods: We reviewed our experience with beating-heart surgery from its inception in January 1995 through December 2000. A total of 12,540 patients underwent isolated coronary artery bypass grafting, including 1915 procedures (15%) performed without cardiopulmonary bypass.

Elimination of cardiopulmonary bypass improves early survival for multivessel coronary artery bypass patients.

Background: Coronary artery bypass graft (CABG) surgery performed without cardiopulmonary bypass (CPB) is currently increasing in clinical practice. Decreased morbidity associated with off-pump (OP) CABG in selected risk groups examined in relatively small, single institution groups has been the focus of most recent studies. The purpose of this study was to determine the independent impact of CPB on early survival in all isolated multivessel CABG patients undergoing surgery in two large institutions with established experience in OPCABG techniques.

Influence of Old Age, Gender, and Internal Mammary Artery Grafting on Operative Mortality and Morbidity in Coronary Artery Bypass Grafting.

Operative risk may change its pattern from time to time. To investigate determinants for operative mortality in patients undergoing CABG since the mid 1980s and the influence of age, gender, and IMAG on mortality, the data of 6,360 patients who underwent CABG from January 1986 through June 1993 were analyzed. Of these patients, 2,153 had SVG alone and 4,207 had IMAG including UIMAG (3,957) and BIMAG (250).