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Eur J Cardiothorac Surg 2002;21:804-817
© 2002 Elsevier Science NL
Review |
a ASERNIP-S, Royal Australasian College of Surgeons, Box 688 North Adelaide, SA 5006, Australia
b Flinders Medical Centre, Adelaide, SA, Australia
c Department of Surgery, North Queensland Clinical School, Townsville, Qld, Australia
d Department of Cardiothoracic Surgery, Prince of Wales Hospital, Randwick, NSW, Australia
e Hobart Surgical, Hobart, Tas., Australia
f Department of Surgery, University of Adelaide, Queen Elizabeth Hospital, Adelaide, SA, Australia
Received 21 August 2001; received in revised form 15 January 2002; accepted 30 January 2002.
* Corresponding author. Tel.: +61-8-8239-1144; fax: +61-8-8239-1244
e-mail: college.asernip{at}surgeons.org
The safety and efficacy of off-pump coronary artery bypass surgery with the aid of the Octopus® Tissue Stabilizer (Octopus OPCAB), in comparison to conventional on-pump coronary artery bypass surgery (CPB-CABG), was examined by a systematic assessment of the peer-reviewed literature. The limited comparative data suggested that there was no difference in safety outcomes between Octopus OPCAB and CPB-CABG. The paucity of efficacy data reported in the higher level comparative studies meant that it was impossible to assess whether Octopus OPCAB was more efficacious than CPB-CABG. The evidence base for the procedure was deemed inadequate and an audit of the procedure was recommended.
Key Words: Octopus • Beating heart • Tissue stabiliser • Bypass • Surgery • Off-pump
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