Beating Heart Coronary Bypass Surgery(Off-pump CABG)
In many cases, coronary artery bypass grafting can be performed without the use of the heart-lung machine. In this "beating heart" (also called off-pump) technique, a small vertical incision is made in the chest, and a mechanical stabilizing device or a couple of interchangeable and complementary stabilizers called, The 'Octopus- evolution' and the 'Starfish' device are used to restrict movement of the heart so that the surgeon can perform surgery while the heart is beating. Patients may be given a drug to slow the heart rate, but the heart maintains its own rhythm without the assistance of the heart-lung machine. The potential benefits of off-pump surgery include a shorter hospital stay and recovery time, less bleeding, less potential for infection,reduced stroke rates and less trauma.
The other direct advantages would be faster ambulation, reduced ICU stay and 'no blood transfusion' in a majority of these patients. The choice of conduits continue to be the use of the universal 'Gold-standard', Left internal mammary artery bypass (LIMA ) to the Left anterior descending artery (LAD). The choice of the other conduits would be either it's companion, a pedicled RIMA , a free left or right radial artery ( depending on patient handedness ) and the standard reversed autologous reversed saphenous vein graft.
A beating heart CABG continues to be the new normal in CABG, the world over.
Our surgeons have a history of performing coronary artery bypass surgery achieving the highest levels of proficiency in the most commonly performed surgical procedure for treating coronary artery disease. We have achieved excellent outcomes: In the mortality rate among our CABG patients has been around 0.7 % for over a decade, year on year. These results are comparable to and sometimes exceed those at some of the best centers all over the globe.
We have special expertise in performing CABG in elderly patients (age 80 and older) and in those with co-existing medical conditions. Neither age nor other health conditions will restrict our ability to provide you with the best care to meet your individual needs.
During CABG, the surgeon removes a blood vessel from tissues of the chest, arms, or legs and uses it to route blood around blockages in the coronary arteries (the vessels supplying blood to the heart) to restore adequate blood circulation to the heart. We offer CABG through conventional open-heart and minimally invasive approaches.
With the minimally invasive approach, the surgeon makes a small (2-3 inch) incision between the ribs. This approach results in less chest trauma, less post-operative discomfort, shorter hospital stays, and a faster recovery time than traditional open CABG.We however insist on offering this procedure to only those who are good candidates for the procedure, only.
In most cases, CABG can be performed "off-pump" (without using the heart-lung machine). A stabilizer restricts heart movement so the surgeon can operate while the heart is beating. Patients may receive a drug to slow the heart rate, but the heart maintains its own rhythm without the assistance of the heart-lung machine. Off-pump surgery may shorten the hospital stay and recovery time and result in less bleeding, less potential for infection, and less trauma.