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Foreword; Off-Pump Coronary Artery Bypass; Preface; From Gold Standard to Global Standard; Contents; Part I: Current Overview of OPCAB; 1: OPCAB Made in Japan: Evidence on Off-Pump Coronary Artery Bypass Grafting from Japan; 1.1 Introduction; 1.2 Technical Aspects of OPCAB; 1.2.1 Harvesting of the Conduits; 1.2.2 Devices Facilitating OPCAB; 1.2.3 Proximal Anastomosis Devices; 1.2.4 Awake OPCAB; 1.2.5 Revascularization Technique for Diffuse Coronary Lesions; 1.3 Patient Management During OPCAB; 1.3.1 Intraoperative Management; 1.3.2 Pathophysiology During OPCAB
1.4 Intraoperative Graft Evaluations1.4.1 Imaging of Grafts; 1.4.2 Functional Evaluation of Grafts; 1.5 Surgical Outcomes of OPCAB; 1.5.1 Surgical Results of OPCAB Compared to On-Pump CABG; 1.5.2 Patients with Diabetes Mellitus (DM); 1.5.3 Perioperative Stroke; 1.5.4 Perioperative Neuropsychological Dysfunction; 1.5.5 Impact of Preoperative Renal Dysfunction; 1.5.6 Patients on Hemodialysis; 1.5.7 Patients with Left Main Disease (LMD); 1.5.8 Patients with Previous Percutaneous Coronary Intervention (PCI); 1.5.9 Postoperative Atrial Fibrillation (AF); 1.5.10 Quality of Grafting
1.5.11 The Impact of the Use of Bilateral ITA vs. Single ITA1.5.12 Outcomes of OPCAB vs. PCI; 1.5.13 Redo OPCAB; 1.6 Summary; References; 2: Statistics of OPCAB in Japan; 2.1 Introduction; 2.2 Total Number of Coronary Artery Surgeries and Off-Pump CABG Rate; 2.3 Changes in OPCAB Rate of Initial Elective Isolated CABG; 2.4 Surgical Procedures of Initial Elective Isolated CABG; 2.5 Outcome According to Procedures; 2.6 Changes in Mortality of CABG; 2.7 Changes in Mortality According to Procedures: Isolated Initial Elective CABG; 2.8 Number of Grafts According to Surgical Procedures
2.9 Surgical Procedures According to Number of Grafts2.10 Comparison of On-Pump Arrest and Off-Pump According to Anastomosis Site of Coronary Artery: Initial Elective Surgery; 2.11 Graft Selection: Isolated CABG Cases; 2.12 Complication Rate of Cerebral-Vascular Stroke According to Surgical Procedures: Isolated CABG Cases; 2.13 Special Survey for OPCAB in 2012; References; 3: Evidence in OPCAB: Critical Appraisal of Recent RCT Based on CABG in Japan; 3.1 Different Situation of OPCAB in Japan; 3.2 Positive Impact of OPCAB; 3.3 Negative Impact of OPCAB in RCT
3.4 Multicenter Angiographic Analysis of Early Graft Patency in Relation to Graft Material and OPCAB in Japan3.5 Critical Appraisal of Recent RCT in Western Countries; References; Part II: OPCAB Procedures and Management; 4: Indication and Safe Strategy; 4.1 Introduction; 4.2 Who Will Benefit Most from Off-Pump Coronary Bypass Surgery?; 4.3 Indication of Off-Pump CABG: Several Considerations; 4.3.1 Patient Risk-Based Decision-Making; 4.3.2 Graftability-Based Decision-Making; 4.4 Routine Off-Pump Strategy; 4.5 Conclusions; References; 5: Approach; 5.1 Full Sternotomy
1.4 Intraoperative Graft Evaluations1.4.1 Imaging of Grafts; 1.4.2 Functional Evaluation of Grafts; 1.5 Surgical Outcomes of OPCAB; 1.5.1 Surgical Results of OPCAB Compared to On-Pump CABG; 1.5.2 Patients with Diabetes Mellitus (DM); 1.5.3 Perioperative Stroke; 1.5.4 Perioperative Neuropsychological Dysfunction; 1.5.5 Impact of Preoperative Renal Dysfunction; 1.5.6 Patients on Hemodialysis; 1.5.7 Patients with Left Main Disease (LMD); 1.5.8 Patients with Previous Percutaneous Coronary Intervention (PCI); 1.5.9 Postoperative Atrial Fibrillation (AF); 1.5.10 Quality of Grafting
1.5.11 The Impact of the Use of Bilateral ITA vs. Single ITA1.5.12 Outcomes of OPCAB vs. PCI; 1.5.13 Redo OPCAB; 1.6 Summary; References; 2: Statistics of OPCAB in Japan; 2.1 Introduction; 2.2 Total Number of Coronary Artery Surgeries and Off-Pump CABG Rate; 2.3 Changes in OPCAB Rate of Initial Elective Isolated CABG; 2.4 Surgical Procedures of Initial Elective Isolated CABG; 2.5 Outcome According to Procedures; 2.6 Changes in Mortality of CABG; 2.7 Changes in Mortality According to Procedures: Isolated Initial Elective CABG; 2.8 Number of Grafts According to Surgical Procedures
2.9 Surgical Procedures According to Number of Grafts2.10 Comparison of On-Pump Arrest and Off-Pump According to Anastomosis Site of Coronary Artery: Initial Elective Surgery; 2.11 Graft Selection: Isolated CABG Cases; 2.12 Complication Rate of Cerebral-Vascular Stroke According to Surgical Procedures: Isolated CABG Cases; 2.13 Special Survey for OPCAB in 2012; References; 3: Evidence in OPCAB: Critical Appraisal of Recent RCT Based on CABG in Japan; 3.1 Different Situation of OPCAB in Japan; 3.2 Positive Impact of OPCAB; 3.3 Negative Impact of OPCAB in RCT
3.4 Multicenter Angiographic Analysis of Early Graft Patency in Relation to Graft Material and OPCAB in Japan3.5 Critical Appraisal of Recent RCT in Western Countries; References; Part II: OPCAB Procedures and Management; 4: Indication and Safe Strategy; 4.1 Introduction; 4.2 Who Will Benefit Most from Off-Pump Coronary Bypass Surgery?; 4.3 Indication of Off-Pump CABG: Several Considerations; 4.3.1 Patient Risk-Based Decision-Making; 4.3.2 Graftability-Based Decision-Making; 4.4 Routine Off-Pump Strategy; 4.5 Conclusions; References; 5: Approach; 5.1 Full Sternotomy