Mastering Off-Pump, Total Arterial Coronary Artery Bypass Grafting: A step-by-step approach

Andrea Amabile; Gianluca Torregrossa; Elbert Williams; John Puskas

doi:10.1510/mmcts.2020.003

Mastering Off-Pump, Total Arterial Coronary Artery Bypass Grafting: A step-by-step approach

Andrea Amabile, Gianluca Torregrossa, Elbert Williams, John Puskas

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Off-pump, total arterial coronary artery bypass grafting (CABG) is a technically demanding myocardial revascularization strategy that combines the long-term benefits of multi-arterial CABG with a no-touch aortic technique. Dedicated training and mentoring are essential in order to learn how to successfully perform this challenging surgical procedure. In this video-tutorial, we present a complete step-by-step approach to safely reproduce this procedure. We will cover the harvesting techniques adopted for internal mammary arteries (ITAs) and for the radial artery (RA), and the several options to construct and deploy multi-arterial composite grafts ("T/Y", "K", and "I" grafts), with a focus on minimizing aortic manipulation.

Original language	English
Journal	Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery
Volume	2020
DOIs	https://doi.org/10.1510/mmcts.2020.003
State	Published - 17 Jan 2020

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AU - Puskas, John

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Mastering Off-Pump, Total Arterial Coronary Artery Bypass Grafting: A step-by-step approach

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