Issue |
J Extra Corpor Technol
Volume 32, Number 3, September 2000
|
|
---|---|---|
Page(s) | 158 - 162 | |
DOI | https://doi.org/10.1051/ject/2000323158 | |
Published online | 14 August 2023 |
Original Article
Perfusion Technique for Perfusion-Assisted Direct Coronary Artery Bypass (PADCAB)
Perfusion Services, Division of Cardiothoracic Surgery, Emory University Hospitals, Atlanta, Georgia
* Address correspondence to: Mark Steele, CCP, CCT Perfusion Services Division of Cardiothoracic Surgery Emory University Hospitals 1364 Clifton Road N.E., E-302 Atlanta, GA 30322
The role for the perfusionist has changed at many institutions that perform Off-Pump Coronary Artery Bypass (OPCAB). Surgeons at our hospitals have adapted a technique called Perfusion-Assisted Direct Coronary Bypass (PADCAB) (1). A simple circuit and pump have been devised for the perfusionist to deliver arterial blood to the myocardium immediately after the completion of the distal coronary anastomosis. Flow is controlled by a pressure-sensing servomechanism, and grafts are perfused at systemic or suprasystemic pressure. The pump is capable of delivering optional agents for myocardial vasodilatation, myocardial resuscitation, and for increasing myocardial performance.
Key words: off-pump coronary artery bypass / perfusion-assisted direct coronary bypass / patient outcomes / cardiopulmonary bypass / enhanced myocardial perfusion / quest mps pump / gregg effect / modified extracorporeal circulation
© 2000 AMSECT
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