Advances in coronary artery bypass surgery History First
Advances in coronary artery bypass surgery
History • First bypass – 1964 – Dr. Kolesov, Leningrad. • Cleveland Clinic - 1967 Drs. Favaloro/De. Bakey/ Sabiston. • 1971 - Dr. G. Green – Routine use of LIMA.
SYNTAX-Trial • Randomized control trial • Comparing CABG to stenting • 85 Registries in USA and Europe
5 Year Results • CABG – Complex coronary artery disease. • Stent - Les complex lesions and left main disease.
SYNTAX scoring
SYNTAX scoring
SYNTAX
SYNTAX
Stenosis with thrombus
Retrograde filling via collaterals
Long segment proximal disease
Tortious vessel
Ostial right lesion
Atherosclerosis
Atherosclerosis
Heart Attack
Bypass Machine
Cell saver
TEG
TEG -Report
3 D TEE
TEE Probe
3 -D-Echo Mitral valve
3 -D Echo-Mitral valve prosthesis
Lima
Lima and veins anastomosed
Y-Graft
Saphenous vein
Percutaneous vein harvesting
Percutaneous vein harvesting
Anastomotic device
Device anastomosis
Radial artery harvesting
Radial artery anastomosis
Stabilizer
Octopus
Open coronary artery
Coronary artery shunt
Shunt in place
MIDCAB
Lower sternal split
Left anterior thoracotomy
MIDCAB
TECAB
Da Vinci
Fem-Fem cannula
Aortic endo-clamp
Robotic port positions
Robotic procedure
Robotic anastomosis
Hybrid Theatre
Hybrid Theatre
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