Exemplos de uso de OPCAB em Inglês e suas traduções para o Português
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In OPCAB group, there were more patients with diabetes P.
Some patients may be candidates for a less invasive version of the OPCAB.
The OPCAB in women decreased the rate of complications compared with on-pump CABG.
However, in randomized studies with small populations,the difference in favor of OPCAB was not significant 8,9.
On average, women undergoing OPCAB received more single graft of the left mammary 4.9% vs. 2.4%, P.
Thus, it is revealed that virtually all patients with indication for CABG are potential candidates for OPCAB.
Depending on the particular technique used in OPCAB, there is elimination of 2 or 3 of these aortic manipulations maneuvers.
Furthermore, the use of CPB was an independent predictor of mortality in centers with significant experience in OPCAB.
In one form of OPCAB, the chest is opened, and the surgeon uses a stabilization device to restrict the heart's motion.
Several studies[2,3] confirm that significant reduction of the inflammatory response leads to reduced organ dysfunction in OPCAB.
Off-pump coronary artery bypass surgery"or OPCAB for short" allows a surgeon to perform a bypass without stopping the heart.
Studies have suggested higher rates of stroke in patients undergoing on-pump CABG when compared to those undergoing OPCAB 14.
Patients undergoing OPCAB had a mean age of 68.6 years and those undergoing on-pump CABG had a mean age of 69.2 years P=0.197.
Retrospective analysis of databases have shown statistically significant benefit in operative mortality with the use of OPCAB 10,11.
In our study,women undergoing OPCAB demonstrated significant reduction in respiratory complications, indicating less pulmonary injury.
The evaluation of the caliber of the coronary arteries andthe use of support equipment in OPCAB are important for the optimization of the operative technique 5.
In studies BHACAS 1 and 2[21],it was found that onpump CABG was associated with a higher rate of postoperative arrhythmias compared with OPCAB.
The pump CABG was performed in 1.122 72.3% patients and OPCAB in 429 patients, with a mortality of 5.7% and 3.2%, respectively.
Interestingly, for the composite endpoint in this study,patients operated in South America had statistically better with OPCAB than with CPB 13.
In an attempt to reduce morbidity andmortality for conventional CABG, the OPCAB procedure was reintroduced in the 80s and widespread throughout the world in 90s.
In short, the training, the experience of the surgical team and the organizational aspect is fundamental in achieving results on the MRI, butmore sharply in OPCAB technique.
However, we found that surgeons who performed OPCAB in less than 25% of patients had complete revascularization rate significantly lower.
Recent meta-analyzes that included several PCT[20-23] and analysis of databases[24]shows that OPCAB is associated with lower risk of stroke.
The NICE document emphasizes that OPCAB may also be particularly useful in patients with left ventricular dysfunction, advanced aortic atherosclerosis and the elderly 17.
Assessing the early postoperative outcomes,we have demonstrated reduced incidence of low cardiac output in OPCAB group difference not statistically significant.
Most of these studies showed that OPCAB decreased hospital morbidity and mortality[13-15] or had mortality and morbidity similar to CABG with CPB 16.
Additionally, current guidelines also recommend the intraoperative measure of graft flow,which can be especially useful in OPCAB in order to reduce the incidence of early grafts occlusion.
Off-Pump Coronary Artery Bypass OPCAB, has also demonstrated to be a safe and effective alternative in patients without prior AMI and with ejection fractions greater than 40.
However, further studies are needed to assess its use in these subgroups, because although OPCAB may provide benefits, it also has the potential to cause harm, like any treatment.
Although OPCAB has been widely performed in recent years, few data are available about the way women behave in each type of surgery off-pump versus on-pump.