Coronary Artery Bypass Grafting - Yale Medicine Explains скачать в хорошем качестве

Coronary Artery Bypass Grafting - Yale Medicine Explains

For more information on Coronary Artery Bypass Grafting or the Yale New Haven Health Heart and Vascular Center, visit: https://www.ynhhs.org/patient-care/Heart. Coronary artery bypass grafting (also known as CABG) is a surgical procedure that improves blood flow to the heart in people with coronary artery disease (CAD). In CAD, plaque builds up within the coronary arteries—the blood vessels that supply the heart with oxygen-rich blood—narrowing or blocking those arteries. This reduces or stops blood flow to the heart muscle, which can result in chest pain, heart attack, and, over time, heart failure. With CABG, healthy blood vessels taken from elsewhere in the body are used to reroute blood around narrowed or blocked sections of affected coronary arteries to restore blood flow to the heart. Off-pump coronary artery bypass grafting (known as off-pump CABG or OPCAB) is a type of CABG in which the heart remains beating, and a heart-lung bypass machine is not used during the procedure. By contrast, in conventional CABG surgery, the heart is stopped, and a heart-lung bypass machine (sometimes referred to as the “pump”) takes over the function of the heart and lungs. Because traditional CABG involves the use of a heart-lung bypass machine, it is also called on-pump CABG. Both off-pump and on-pump CABG can effectively restore blood flow to the heart, resulting in improved heart function, reduced chest pain, lower risk of heart attack, and overall better long-term survival in people with CAD. While the majority of CABG procedures in the United States are on-pump, off-pump CABG is often used to treat people who are at risk for complications from conventional CABG, including those at higher risk of stroke due to significant plaque buildup within the aorta (the large artery that transports blood from the heart to the coronary arteries and the rest of the body), those with a weaker heart, and those with chronic lung or kidney disease. 0:00 Coronary Artery Disease 0:51 Coronary Artery Bypass Grafting 1:57 Anaortic, Off-Pump Technique 2:48 Total Arterial Graft Technique 3:44 Excellence In Clinical Care