Guglielmo Actis Dato* and Marco Picichè Pages 116 - 119 ( 4 )
Background: Before the advent of CABG, standardized in the late '60s by Favaloro and Effler, patients with myocardial ischemia underwent indirect and heterogeneous off-pump methods of myocardial revascularization.
Methods & Results: Indirect revascularization, such as periaortic nerve plexus interruption, Vineberg operation, Sen procedure and, less remotely, TMR Laser and stem cell transplantation, represented some of the ways to achieve myocardial revascularization. Nowadays, direct coronary revascularization is the only established technique and may be performed either on-pump or off-pump.
Conclusion: The comparison of off-pump and on-pump myocardial revascularization paved the way to an endless debate between the advantages and disadvantages of each technique. In this
Cardiopulmonary bypass, collateral circulation, coronary, myocardium, off-pump, revascularization, surgery.
Cardiac Surgery Department Mauriziano Hospital, Largo Turati, 10131 Turin, Cardiac Surgery Department San Camillo-Forlanini Hospital Circumvallation Gianicolense 87 Rome