HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Utz Kappert Vassilios Gulielmos Michael Knaut Romuald Cichon Jens Schneider Stephan Schueler Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kappert, U. Articles by Schueler, S. Search for Related Content PubMed PubMed Citation Articles by Kappert, U. Articles by Schueler, S.

Eur J Cardiothorac Surg 1999;16:S7-S9
© 1999 Elsevier Science NL

The application of the Octopus^® stabilizing system for the treatment of high risk patients with coronary artery disease

Cardiovascular Institute, University Dresden, Fetscherstrasse 76, D-01307 Dresden, Germany

^* Corresponding author. Tel.: +49-351-450-1801; fax: +49-351-450-1802 (Email: hkz{at}rcs.urz.tu-dresden.de).

Objectives: If coronary disease is the target of a minimally invasive procedure, median sternotomy or cardiopulmonary bypass or both can be avoided. Similar to the development in other fields of surgery, minimally invasive surgical techniques are gaining increased acceptance in the field of cardiothoracic surgery. Our experience with an off pump coronary artery bypass (OPCAB) technique in a special patients group with serious risk factors for the application of cardiopulmonary bypass has been analyzed. Methods: Between March 1996 and January 1999, 88 patients (64 male, 24 female) with impaired left ventricular function, or other high risk factors jeopardizing the use of cardiopulmonary bypass, such as impaired renal or lung function or heavily calcified aorta, received a beating heart procedure using the Medtronic Octopus^® stabilizing system. Results: All patients survived the actual operation, however, two multimorbide patients died of pneumonia on postoperative day 31 and postoperative day 35. Conclusions: Patients with single-vessel to multivessel disease and serious risk factors for cardiopulmonary bypass can be safely treated by OPCAB surgery. At our institution this technique presents the procedure of choice in this particular patients group.

Key Words: Coronary artery disease • Off pump coronary artery bypass • Octopus^® • Median sternotomy

This article has been cited by other articles:

				H. Ustunsoy, H. Kazaz, M. A Celkan, C. Kayiran, R. Hayta, and E. Bayar Deep Pericardial Suture vs Apical Suction for Off-Pump Bypass Grafting Asian Cardiovasc Thorac Ann, April 1, 2007; 15(2): 123 - 126. [Abstract] [Full Text] [PDF]

				N.A. Scott, J.L. Knight, B.P. Bidstrup, H. Wolfenden, R.N. Linacre, and G.J. Maddern Systematic review of beating heart surgery with the Octopus(R) Tissue Stabilizer Eur. J. Cardiothorac. Surg., May 1, 2002; 21(5): 804 - 817. [Abstract] [Full Text] [PDF]

				M. Capdeville and J. H. Lee Off-Pump Coronary Artery Bypass Surgery: Revival of an Old Technique Seminars in Cardiothoracic and Vascular Anesthesia, November 1, 2001; 5(4): 345 - 361. [Abstract] [PDF]