Technical aspects of modern coronary artery bypass surgery
Gaudino, Mario (Éditeur intellectuel) / Glineur, David (Éditeur intellectuel)
1st edition
2021
1 ressource en ligne (xxi, 355 pages)
Format PDF
9780128203491
Anglais
1. Closing the gap between best evidence and common practice in surgical coronary revascularization: The rationale for superspecialization -- 2. Surgical strategy in multiple arterial grafting -- 3. Harvesting the radial artery -- 4. Harvest of the skeletonized left internal mammary artery -- 5. Retractors for harvesting of the internal thoracic artery -- 6. Harvesting of the skeletonized internal thoracic artery using a harmonic scalp -- 7. Harvesting of the gastroepiploic artery -- 8. Harvesting of the saphenous vein -- 9. Sequential anastomoses: surgical technique, results, grafting strategy in coronary artery revascularization -- 10. Technique of Y and T grafts -- 11. The technique of “baby Y” grafts -- 12. Coronary artery proximal anastomosis -- 13. Bilateral internal thoracic artery grafting strategies -- 14. Open and closed coronary endarterectomy -- 15. Techniques to avoid sternal complications after CABG with bilateral internal mammary artery -- 16. Off-pump coronary artery bypass grafting: Exposure, stabilization, and strategy -- 17. The anastomosis -- 18. Total-arterial, anaortic, off-pump coronary artery bypass grafting–surgical technique -- 19. Technique of robotic coronary artery bypass grafting -- 20. Technique of minimally invasive coronary artery bypass grafting -- 21. Hybrid coronary revascularization -- 22. Intraoperative grafts verification in coronary surgery -- 23. The management of perioperative ischemia -- 24. Optimizing medical therapy in the coronary artery bypass graft patient -- 25. Complex surgical coronary revascularization
Coronary surgery encompasses two thirds of all adult cardiac surgery cases. With the endless pursuit of better outcomes, modern coronary artery bypass grafting (CABG) has become technically more complex in ways that are well beyond the training of the average cardiac surgeon. The old concept of "one-technique-fits-all" has been abandoned in favour of a specialized approach tailored to the individual patient. In fact, in recent years, there is a growing movement towards establishing coronary surgery as a super-specialization of cardiac surgery.