This book is a valuable resource on the subject of off-pump coronary artery bypass (OPCAB) surgery, which has recently been developed as a promising technique for reducing surgical damage to patients.
Because of the increasing number of older patients who are candidates for a coronary artery bypass graft (CABG) operation, less-invasive surgeries are becoming a priority all over the world. Despite some challenges, such as its technical difficulties, emerging questions, and controversies involved, OPCAB surgery in CABG is now the gold standard in Japan.
This book, written by OPCAB experts, examines the procedure established and its chief benefits. Its coverage ranges from a careful evaluation of the evidence for and against OPCAB surgery to preoperative and intraoperative management of patients undergoing coronary bypass surgery. It also contains a description of advanced techniques for every aspect of the procedure. The authors[share essential insights into the latest trends in cardiovascular surgery for professionals and residents, presenting detailed descriptions of the exposure of the heart, stabilization of each coronary artery target, construction of distal anastomoses, and other important factors. The book offers an invaluable reference guide for cardiac surgeons, cardiologists, anesthesiologists, and other medical staff in operating rooms around the world.
- This book provides an overview of OPCAB in Japan
- Clearly demonstrates how unique and useful the Japanese OPCAB method is
- Written for both residents and specialists interested in learning about the latest trend in cardiovascular surgery
Part I Current Overview of OPCAB.- Chapter 1 OPCAB Made in Japan: Evidence on Off-Pump Coronary Artery Bypass Grafting from Japan.- Chapter 2 Statistics of OPCAB in Japan.- Chapter 3 Evidence in OPCAB: Critical Appraisal of Recent RCT Based on CABG in Japan.- Part II OPCAB Procedures and Management.- Chapter 4 Indication and Safe Strategy.- Chapter 5 Approach.- Chapter 6 Intraoperative Management and Anesthesia.- Chapter 7 Controversy: Volume Load versus Vasopressor.- Chapter 8 Urgent Pump Conversion: When Does it Occur and How Can We Prevent it?.- Chapter 9 Exposure.- Chapter 10 Stabilization.- Chapter 11 Securing the Distal Anastomosis Site: Coronary Artery Occlusion, Shunt and Blower.- Chapter 12 Graft Planning.- Chapter 13 Controversy: Composite Grafts versus Individual Grafts.- Chapter 14 Harvesting: Tip and Pitfalls.- Chapter 15 Graft: Coronary Anastomosis in Off-Pump CABG.- Chapter 16 Coronary Endarterectomy and Long Onlay-Patch Grafting.- Chapter 17 OPCAB Proximal.- Chapter 18 Intraoperative Graft Assessment OPCAB Made in Japan.- Chapter 19 Stroke.- Chapter 20 Patient management OPCAB.- Part III. A Difficult Situation: How Do I Solve This Problem?.- Chapter 21 Redo Operation.- Chapter 22 Combined surgery (TAA, AAA or cancer) Concomitant or Staged Surgeries?.- Chapter 23 Difficult Heart.- Chapter 24 Difficult Coronary OPCAB Made in Japan.- Chapter 25 Off-Pump CABG for Patients with End-Stage Renal Failure.- Part IV. Teaching and Training.- Chapter 26 How Do We Teach Off-Pump Surgery to the Next Generation?.- Part V. Future Perspectives: What Comes Next?.- Chapter 27 Hybrid Approach (PCI+OPCAB, OPCAB+TAVI, OPCAB+debranching TEVER).- Chapter 28 Robotic Surgery.- Chapter 29 OPCAB Combined Regenerative Surgery