Loading...
Date of Award
Spring 2023
Degree Name
Master of Medical Science (Physician Assistant)
Department
Physician Assistant; College of Health Sciences
First Advisor
Timothy Besse PA-C
Abstract
Heart disease is a large contributor to noncommunicable causes of morbidity and mortality in the United States. Coronary Artery Bypass Graft (CABG) surgeries is one of the most common major surgeries performed in the United States, and has had a significant role in decreasing mortality rates and improving quality of life in coronary artery disease (CAD) patients. Surgeons can approach CABG procedures two ways; utilizing a cardiopulmonary bypass machine (C-CABG), or without circumventing the heart (OP-CABG). When deciding what method is appropriate, surgeons should consider the extent of heart disease, concurrent comorbidities, revascularization rates, and the morbidity and mortality associated with each method. This article compares each of these variables in C-CABG and OP-CABG and discusses the advantages and disadvantages of each procedure. Overall, a larger implementation of OP-CABG is a promising future of cardiac surgery but requires adequate training and experience to make the procedure beneficial.
Recommended Citation
Kovalenko, Marina, "On- Pump vs Off- Pump CABG Repair: A CME article on the risks and benefits of both approaches to CABG surgery" (2023). Capstone Showcase. 67.
https://scholarworks.arcadia.edu/showcase/2023/pa/67
On- Pump vs Off- Pump CABG Repair: A CME article on the risks and benefits of both approaches to CABG surgery
Heart disease is a large contributor to noncommunicable causes of morbidity and mortality in the United States. Coronary Artery Bypass Graft (CABG) surgeries is one of the most common major surgeries performed in the United States, and has had a significant role in decreasing mortality rates and improving quality of life in coronary artery disease (CAD) patients. Surgeons can approach CABG procedures two ways; utilizing a cardiopulmonary bypass machine (C-CABG), or without circumventing the heart (OP-CABG). When deciding what method is appropriate, surgeons should consider the extent of heart disease, concurrent comorbidities, revascularization rates, and the morbidity and mortality associated with each method. This article compares each of these variables in C-CABG and OP-CABG and discusses the advantages and disadvantages of each procedure. Overall, a larger implementation of OP-CABG is a promising future of cardiac surgery but requires adequate training and experience to make the procedure beneficial.