Off-Pump Coronary Artery Bypass Grafting

Bobby Yanagawa, John D. Puskas

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Off-pump coronary artery bypass graft (OPCAB) constitutes a minority of surgical revascularization procedures performed world wide, but it remains an important tool in the surgical armamentarium. If surgeons can achieve a comparable quality of anastomosis and completeness of revascularization as an on-pump procedure, OPCAB has the potential to reduce in-hospital morbidity and mortality in select high-risk patients. In this review, we describe our operative technique for OPCAB including perioperative medical management, the use of intraoperative imaging to reduce the risk of stroke, the optimal use of adjuncts to achieve a near bloodless field to allow for the creation of a precise and reproducible anastomosis and specialized tools to confirm graft flow.

Original languageEnglish
Pages (from-to)2-19
Number of pages18
JournalOperative Techniques in Thoracic and Cardiovascular Surgery
Issue number1
StatePublished - 1 Feb 2016


  • cardiopulmonary bypass
  • complete revascularization
  • off-pump coronary artery bypass graft
  • total arterial revascularization


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