What is a pump assisted CABG?

On-pump beating-heart CABG, which uses cardiopulmonary bypass without either cardioplegic arrest or aortic cross-clamp, has recently been applied in high-risk patients [11–19]. Cardiopulmonary bypass offers enough circulatory support and ensures intra-operative hemodynamic stability more than IABP support does.

What are the types of CABG?

There are two types of CABG operations currently available: on-pump and off-pump surgery. On-pump procedures require the surgeon to open the chest bone (sternum), stop the patient’s heart, and place the patient on a heart-lung machine.

What two approaches are used when CABG?

Minimally invasive direct CABG (MIDCAB) Totally endoscopic CABG.

What are the differences between open laparoscopic and robotic assisted surgery?

Robotic surgery is similar to laparoscopic surgery in that they both use small incisions, a camera, and surgical instruments. However, instead of holding and manipulating the surgical instruments during robotic surgery, your MedStar surgeon will sit at a computer console and use controls to manipulate the robot.

What is the difference between off pump and on pump CABG?

In off-pump CABG, the area around the blocked coronary artery is stabilized while the surgeon grafts the blood vessel on the pumping heart. Off pump CABG is relatively a newer procedure to On-pump CABG and doesn’t require the use of the cardiopulmonary bypass machine.

How is on pump CABG performed?

Opinion is still divided on which is the better way. Although a variety of new access options exist, most CABGs are performed via the midline sternotomy approach (down the middle through the breast bone). On-pump CABG is a time-honored procedure that is performed while the heart is stopped.

Which vein is used in CABG?

During the operation. Coronary artery bypass graft surgery usually lasts 3 to 6 hours. But it may take longer depending on how many blood vessels are being attached. Blood vessels can be taken from your leg (saphenous vein), inside your chest (internal mammary artery), or your arm (radial artery).

Why are veins used in CABG?

The saphenous vein (SPV) is a commonly used conduit for bypass due to the ease of harvest, which can generally be done through minimally invasive procedures, with less scarring and faster recovery.

What is the difference between a stent and a bypass?

“If put you put a stent in the LAD, you are only protecting that area of blockage, and the rest of that artery is still vulnerable,” Cutlip says, “whereas a bypass will protect the downstream portion of that vessel probably forever.”

What is robotic assisted laparoscopic surgery?

Definition. A robot-assisted laparoscopic surgery is when a doctor guides small robotic arms through tiny incisions in the belly to do surgery. It allows for greater range of motion than regular surgery. Laparoscopic Cholecystectomy. Close-up view of laparoscopic tools used to remove the gallbladder (green structure).

What is robotic assisted laparoscopic prostatectomy?

Robotic-assisted radical laparoscopic prostatectomy is accomplished using the da Vinci® Surgical System, a sophisticated robotic surgery system that allows surgeons to operate on the prostate with enhanced vision, control and precision.