Off-pump coronary artery bypass surgery (OPCAB)

Off-pump coronary artery bypass graft surgery is one of the most effective methods of treatment of ischemic heart disease. The recent large-scale trials showed more statistically significant and reliable short-term and long-term results of performing off-pump coronary artery bypass (OPCAB), that indicated the advantage of this method compared with traditional coronary artery bypass grafting. The advantage could be more evident in the patients at high risk of complications associated with cardiopulmonary bypass and atherosclerosis of the ascending aorta and primarily is beneficial for reducing cerebrovascular adverse consequences. Short-term and long-term survival rates for patients and reduction of the incidence of «coronary events» depend on the high performance of technical support during surgery to deliver the best inpatient care.

The leading Israeli clinic Tel Aviv Medical Clinic employs real professionals who have been involved in the detection and treatment of diseases of the cardiovascular system for more than 10 years. We use original preparations and modern equipment. The chambers of our department are equipped with everything necessary. Our employees annually undergo internships in foreign clinics.

Benefits of surgery

The specialists of our clinic highlight the following advantages: 

• coronary artery bypass grafting on a working heart improves treatment results and reduces the risk of complications;
• reduced risk of stroke due to microembolism;
• operation on a working heart using the ACROBAT system helps to reduce the use of clamps in surgery;
• the HEARTSTRING III proximal anastomosis overlay system eliminates aortic clamping.

How is the operation performed? 

The operation takes 4-5 hours. The patient is anaesthetized, and surgeons begin to prepare the arteries for use in the form of shunts. A qualified specialist selects a shunt of the required diameter and size. The doctor gets access to the heart through the sternum incision, but without the use of a cardiopulmonary bypass. As a rule, with this method, the coronary arteries of the posterior wall of the heart can be achieved. However, during the operation, the pumping power of the heart may be impaired if it is removed from its position, which requires the use of an apparatus. After the operation, the patient is in the hospital for several weeks.