Coronary Artery Bypass Graft (CABG) - Desun Hospital Health Insight

Knowledge sharing slideshows to increase general awareness about common medical procedures and good health guidelines Created and Distributed by All Rights Reserved Coronary Artery Bypass Graft (CABG) Public Awareness Program

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RG Cohen, et al; Minimally Invasive Cardiac Surgery History of Heart Surgery

[object Object],[object Object],[object Object],[object Object],[object Object],BJ Harlan, et al; Manual of Cardiac Surgery Indications for Surgery

[object Object],[object Object],[object Object],[object Object],Adapted from BJ Harlan, et al; Manual of Cardiac Surgery Conventional CABG

[object Object],[object Object],[object Object],[object Object],[object Object],BJ Harlan, et al; Manual of Cardiac Surgery Conduits Used for Bypass

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],GP Gravlee, et al; Cardiopulmonary Bypass: Principles and Practice Conventional CABG Procedure

[object Object],[object Object],[object Object],BJ Harlan, et al; Manual of Cardiac Surgery Conventional CABG Procedure

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],BJ Harlan, et al; Manual of Cardiac Surgery, WebMD.com, American College of Cardiology Foundation Conventional CABG

[object Object],[object Object],[object Object],[object Object],[object Object],RG Cohen, et al; Minimally Invasive Cardiac Surgery Minimally Invasive Direct CABG

[object Object],[object Object],[object Object],[object Object],[object Object],TA Salerno, et al. Beating Heart Coronary Artery Surgery Advantages of MIDCAB Over CABG MIDCAB CABG Full sternotomy No Yes CPB No Yes Operating time 2-3 hrs 3-6 hrs Recovery time 1-2 weeks 3-6 months Effectiveness 90% 90% Incision length 10 cm 30 cm

Small incisions for video-assisted LIMA harvest Thoracotomy incision (~10 cm) RG Cohen, et al; Minimally Invasive Cardiac Surgery MIDCAB Procedure

[object Object],[object Object],[object Object],[object Object],[object Object],RG Cohen, et al; Minimally Invasive Cardiac Surgery MIDCAB Procedure

[object Object],[object Object],RG Cohen, et al; Minimally Invasive Cardiac Surgery Completed graft MIDCAB Procedure

[object Object],[object Object],[object Object],Clinical Results Using MIDCAB Mehran R, et al; Circulation In-hospital MACE 1% Procedure time 132±20 minutes Time to extubation 6±3 hours Hospital stay 2.1±1.9 days Mortality (one year) 1% MACE (one year) 6%

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RG Cohen, et al; Minimally Invasive Cardiac Surgery Drawbacks of MIDCAB

[object Object],[object Object],[object Object],[object Object],RG Cohen, et al; Minimally Invasive Cardiac Surgery Port-Access CABG

[object Object],[object Object],RG Cohen, et al; Minimally Invasive Cardiac Surgery Port-Access CABG

[object Object],RG Cohen, et al; Minimally Invasive Cardiac Surgery Port-Access CABG

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RG Cohen, et al; Minimally Invasive Cardiac Surgery Port-Access CABG

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],New England Journal of Medicine Stent or Surgery?

[object Object],[object Object],The Lancet, Journal of the American College of Cardiology Stent or Surgery? PCI and Stenting n=480 CABG n=487 Mortality at 1 year 2.5% 0.8% Need for additional PCI 13% 4.8% Need for additional CABG 9% 1% Overall adverse effects 22.1% 12.2%

[object Object],[object Object],Journal of the American College of Cardiology Stent or Surgery? Costs Medical Status After 1 Year In patients with 3-vessel disease All Patients Enrolled PTCR n=225 CABG n=225 MACE 30 days 3.6% 12.3% Death 30 days 0.9% 5.7% Survival 1 year 96.9% 92.5% Freedom for MI 97.7% 93.4% Need for revascularization 16.8% 4.8%

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Current Controlled Trials in Cardiovascular Medicine Summary: Stent or Surgery?

[object Object],[object Object],[object Object],[object Object],[object Object],In The Future...

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Questions???

Coronary Artery Bypass Graft (CABG) - Desun Hospital Health Insight

Recommandé

Recommandé

Contenu connexe

Tendances

Tendances (20)

En vedette

En vedette (20)

Similaire à Coronary Artery Bypass Graft (CABG) - Desun Hospital Health Insight

Similaire à Coronary Artery Bypass Graft (CABG) - Desun Hospital Health Insight (20)

Plus de DESUN Hospital

Plus de DESUN Hospital (9)

Dernier

Dernier (20)

Coronary Artery Bypass Graft (CABG) - Desun Hospital Health Insight

Notes de l'éditeur