Dr. Ramchandani
Heart Surgeon

Specializing in
Off-Pump Coronary Artery Bypass
Surgery

Houston, Texas
Tel. (713) 790-2822 Fax (713) 790-2859

Articles: List View Search Rate This!

Articles Search View

Click on the categories and then the subcategories to find a category of article. Or use the search box to sort by specific criteria.

Article Category: Dr. Ramchandani''s Publications Dr. Ramchandani's Publications Off Pump Research

Article SubCategory: Article OPCAB Surgery Abstracts

Search By:

6 Record(s) Found. Displaying Page 1:


Category: Off Pump Subcategory: OPCAB Surgery Abstracts

Reduced Hospital Length of Stay (LOS)
Author:


Several studies have shown that OPCAB reduces ICU time and total hospital length of stay.2,4,5,6,8 Decreases of approximately 50% in average ICU time for patients with OPCAB compared to CABG with CPB were reported by both Muneretto et al. (22 hours vs. 43 hours, p=.003)6 and Meharwal et al. (18 hours vs. 33 hours, p<.001).4 In addition, other studies, including two prospective randomized studies, have demonstrated significantly shorter hospital mean length of stay by 1 to 2 days for OPCAB patien

4-Feb-05 11:00 AM Click to read: Reduced Hospital Length of Stay...


Category: Off Pump Subcategory: OPCAB Surgery Abstracts

Complete Revascularization and Similar Graft Patency
Author:


The ability to achieve completeness of revascularization in OPCAB patients with multivessel disease without compromising graft patency has been directly assessed in recent studies by experienced OPCAB surgeons. Several studies comparing OPCAB and CABG with CPB have shown that complete revascularization with similar number of grafts can be effectively performed with OPCAB.1,2,3,4,5,6 In a prospective, randomized study of 200 unselected patients, Puskas et al. reported similar indices of completen

4-Feb-05 11:00 AM Click to read: Complete Revascularization and...


Category: Off Pump Subcategory: OPCAB Surgery Abstracts

Reduced Perioperative Morbidity and Complications
Author:


While many comparative studies support equivalent clinical outcomes between OPCAB and CABG with CPB, various studies have suggested that OPCAB may reduce perioperative morbidity and complications compared to CABG with CPB. In a large database review of 11,717 OPCAB patients and 106,423 conventional CABG patients, the risk-adjusted incidence of complications was significantly lower for the OPCAB group (10.62% OPCAB versus 14.15% CABG with CPB, p<.0001).9 An extensive meta-analysis of 53 studies s

4-Feb-05 11:00 AM Click to read: Reduced Perioperative Morbidity...


Category: Off Pump Subcategory: OPCAB Surgery Abstracts

Reduced Blood Loss and Fewer Transfusions
Author:


Clinical studies have consistently demonstrated that OPCAB is an effective technique for significantly reducing the blood loss and transfusion requirements often associated with CPB.1,3,4,5,12,15,18,21,22,23 In two prospective, randomized studies by Puskas et al. and Ascione et al., the number of OPCAB patients requiring transfusions was reduced by 41% and 56%, respectively,

4-Feb-05 11:00 AM Click to read: Reduced Blood Loss and Fewer...


Category: Off Pump Subcategory: OPCAB Surgery Abstracts

Reduced Neurocognitive Impairment and Stroke
Author:


Several randomized studies have found that OPCAB may avoid the neurocognitive impairment associated with CPB and the occurrence of intraoperative cerebral microemboli. In two separate studies measuring microemboli with transcranial doppler (TCD), OPCAB resulted in almost a 40-fold reduction in microemboli with improved performance in neurocognitive testing.14,15 Similar findings were reported by Zamvar et al. in another

4-Feb-05 10:45 AM Click to read: Reduced Neurocognitive...


Category: Off Pump Subcategory: OPCAB Surgery Abstracts

Similar or Reduced Mortality Risk
Author:


The ability to achieve completeness of revascularization in OPCAB patients with multivessel disease without compromising graft patency has been directly assessed in recent studies by experienced OPCAB surgeons. Several studies comparing OPCAB and CABG with CPB have shown that complete revascularization with similar number of grafts can be effectively performed with OPCAB.1,2,3,4,5,6 In a prospective, randomized study of 200 unselected patients, Puskas et al. reported similar indices of completen

4-Feb-05 10:00 AM Click to read: Similar or Reduced Mortality Risk