Bypass surgery with heart in beating condition is safer than on-pump method
A medical study found that conducting bypass surgery while keeping the heart beating is as safe as doing it with the support of heart-lung machine in heart patients, particularly in India.
Traditionally, bypass surgery is performed by stopping the heart and using a heart lung machine. Recently, a new technique was developed to perform the surgery, keeping the heart in beating condition.
The study was conducted by a group of seven doctors. The study findings were published in Indian Journal of Thoracic and Cardiovascular Surgery. A Dr. had also made a presentation on the findings at a conference of the American Association for Thoracic Surgery at San Diego in May last year.
"The first procedure is called on-pump coronary artery bypass grafting (CABG) surgery, while the latest method is called off-pump or beating heart surgery. Particularly in India, where there is a high prevalence of diabetes and kidney ailments among the heart patients, off-pump CABG is safer and has lesser complications, compared to on-pump surgery," the Dr. explained.
The team conducted the study on 320 patients who had undergone bypass surgery either by on-pump and off-pump CABG. "They were investigated with angiography at an interval of three months to evaluate the quality of grafting. Postoperative angiography confirmed that the patients who underwent off-pump surgeries were as healthy as those who had undergone on-pump CABG," the Dr. said.
It is believed that about 1.5 lakh bypass surgeries take place in India every year. Of them, 60 per cent are now being done on beating heart and the remaining 40 per cent are done with the aid of a heart-lung machine.
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Traditionally, bypass surgery is performed by stopping the heart and using a heart lung machine. Recently, a new technique was developed to perform the surgery, keeping the heart in beating condition.
The study was conducted by a group of seven doctors. The study findings were published in Indian Journal of Thoracic and Cardiovascular Surgery. A Dr. had also made a presentation on the findings at a conference of the American Association for Thoracic Surgery at San Diego in May last year.
"The first procedure is called on-pump coronary artery bypass grafting (CABG) surgery, while the latest method is called off-pump or beating heart surgery. Particularly in India, where there is a high prevalence of diabetes and kidney ailments among the heart patients, off-pump CABG is safer and has lesser complications, compared to on-pump surgery," the Dr. explained.
The team conducted the study on 320 patients who had undergone bypass surgery either by on-pump and off-pump CABG. "They were investigated with angiography at an interval of three months to evaluate the quality of grafting. Postoperative angiography confirmed that the patients who underwent off-pump surgeries were as healthy as those who had undergone on-pump CABG," the Dr. said.
It is believed that about 1.5 lakh bypass surgeries take place in India every year. Of them, 60 per cent are now being done on beating heart and the remaining 40 per cent are done with the aid of a heart-lung machine.
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