In the last couple of decades, Coronary-Artery Bypass Grafting (CABG) or bypass surgery was performed with cardiopulmonary bypass or “on-pump.” A desire to improve the outcomes of surgery led to technological advances. These technological advances have made surgery on a beating heart possible and techniques to perform CABG without cardiopulmonary bypass (off-pump), were developed. The surgical instruments used in these kinds of surgery limit the motion only to the areas where the heart is being operated.
According to a study, approximately every 10 minutes, someone is undergoing off-pass bypass surgery somewhere. In this process, the surgeon removes a section of healthy artery from the healthy area of the body. The removed section, called graft, is then attached to the area of the heart above and below the blockage, restoring the normal blood flow. But, why one should opt for off-pump bypass surgery over on-pump surgery?
A research study proved that off-pump bypass surgery improves outcome in high-risk patients compared to on-pump coronary artery bypass. The surgery has been found associated with a reduction in the odds of cerebral stroke and other related issues.
Excellent for High-Risk Patients
In high-risk patients, off-pump surgery must be strongly considered. Research studies have proved that certain people, for instance, with advanced atherosclerosis of the aorta, chronic lung disease, or kidney problems, are likely to receive more benefits. The surgeons mostly prefer off-pump for reduced risks for infection and lesser postoperative inflammation.
Improved Quality of Life
The off-pump surgery improves the physical and mental health components notably. While the metabolic needs of various organs and muscle tissues are higher in on-pump than in off-pump. The depression and anxiety scores also decrease significantly in off-pump techniques.
As the off-pump technique is comparatively new, the complications are quite less. The complications like accelerated fibrinolysis, renal impairment, coagulopathies associated with platelet dysfunction, etc., can be avoided or at least reduced largely. Besides, the surgery also has reduced morbidity or mortality rate.
Indeed, off-pump surgery is more beneficial than the conventional bypass surgery. However, an expert healthcare provider must be considered for undergoing such surgeries to avoid risks. Medipulse houses experienced doctors and have a world-class infrastructure for performing these surgeries. Dr. Raju Vyas, the most renowned heart specialist in Jodhpur, heads the department of cardiothoracic and vascular surgery. His expertise and precision have made numerous heart surgeries successful in Rajasthan.