HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Sharif Al-Ruzzeh Shahid Khan Magdi Yacoub Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Al-Ruzzeh, S. Articles by Amrani, M. Search for Related Content PubMed PubMed Citation Articles by Al-Ruzzeh, S. Articles by Amrani, M. Related Collections Coronary disease Minimally invasive surgery

J Thorac Cardiovasc Surg 2002;123:525-530
© 2002 The American Association for Thoracic Surgery

Surgery for Acquired Cardiovascular Disease (ACD)

The early clinical and angiographic outcome of sequential coronary artery bypass grafting with the off-pump technique

From the Department of Cardiothoracic Surgery, National Heart and Lung Institute, Harefield Hospital, Harefield, United Kingdom.

Received for publication May 21, 2001; revisions requested July 9, 2001; revisions received July 17, 2001; accepted for publication July 23, 2001. Address for reprints: Mr Mohamed Amrani, Senior Lecturer in Cardiac Surgery, Harefield Hospital, Harefield, Middlesex UB9 6JH, United Kingdom (E-mail: mr.amrani{at}rbh.nthames.nhs.uk).

Objective: The emergence of the off-pump coronary artery bypass technique has made surgeons consider combining it with other techniques developed and learned with conventional coronary artery bypass grafting with cardiopulmonary bypass. One of these techniques is the construction of a sequential graft to bypass more than one coronary vessel. The purpose of this study is to review the outcome of combining sequential coronary artery bypass grafting with off-pump techniques.
Methods: We retrospectively reviewed the records of 45 consecutive patients who underwent isolated coronary bypass surgery with off-pump and sequential grafting techniques at Harefield Hospital (Harefield, UK) between July 1999 and December 2000. The registry database, medical notes and charts were studied for preoperative and postoperative data of the patients. Ten patients consented and underwent early postoperative angiography to check the quality of the grafts and anastomoses.
Results: There were no deaths among the study patients. Morbidity consisted of atrial fibrillation in 6 patients (13.3%), leg wound infection in 2 patients (4.4%), and pleural effusion in 1 patient (2.2%). Early angiography of the 10 consenting patients revealed 10 patent sequential grafts (100%) with 20 satisfactory end-to-side and side-to-side anastomoses (100%).
Conclusion: The combination of sequential grafting and off-pump techniques is feasible, is safe, and provides good early clinical and angiographic outcomes.

This article has been cited by other articles:

				S. Al-Ruzzeh, S. George, M. Bustami, J. Wray, C. Ilsley, T. Athanasiou, and M. Amrani Effect of off-pump coronary artery bypass surgery on clinical, angiographic, neurocognitive, and quality of life outcomes: randomised controlled trial BMJ, June 10, 2006; 332(7554): 1365. [Abstract] [Full Text] [PDF]

				T. Fukui, S. Takanashi, Y. Hosoda, and S. Suehiro Total Arterial Myocardial Revascularization Using Composite and Sequential Grafting With the Off-Pump Technique Ann. Thorac. Surg., August 1, 2005; 80(2): 579 - 585. [Abstract] [Full Text] [PDF]

				E. A Black, S. Ghosh, K. Sin, T. Spyt, and R. Pillai Off-Pump Coronary Artery Bypass Surgery Asian Cardiovasc Thorac Ann, December 1, 2004; 12(4): 379 - 386. [Abstract] [Full Text] [PDF]

				H. Kamiya, G. Watanabe, H. Takemura, S. Tomita, H. Nagamine, and T. Kanamori Total arterial revascularization with composite skeletonized gastroepiploic artery graft in off-pump coronary artery bypass grafting J. Thorac. Cardiovasc. Surg., April 1, 2004; 127(4): 1151 - 1157. [Abstract] [Full Text] [PDF]

				S. Al-Ruzzeh, G. Ambler, G. Asimakopoulos, R. Z. Omar, R. Hasan, B. Fabri, A. El-Gamel, A. DeSouza, V. Zamvar, S. Griffin, et al. Off-Pump Coronary Artery Bypass (OPCAB) Surgery Reduces Risk-Stratified Morbidity and Mortality: A United Kingdom Multi-Center Comparative Analysis of Early Clinical Outcome Circulation, September 9, 2003; 108(90101): II-1 - 8. [Abstract] [Full Text] [PDF]

				S. Al-Ruzzeh, T. Athanasiou, S. George, B. E. Glenville, A. C. DeSouza, J. R. Pepper, and M. Amrani Is the use of cardiopulmonary bypass for multivessel coronary artery bypass surgery an independent predictor of operative mortality in patients with ischemic left ventricular dysfunction? Ann. Thorac. Surg., August 1, 2003; 76(2): 444 - 451. [Abstract] [Full Text] [PDF]

				N. Agabiti, C. Ancona, F. Forastiere, M. Arca, and C. A. Perucci Evaluating outcomes of hospital care following coronary artery bypass surgery in Rome, Italy Eur. J. Cardiothorac. Surg., April 1, 2003; 23(4): 599 - 606. [Abstract] [Full Text] [PDF]