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<p>Off-pump coronary artery bypass (OPCAB) surgery remains a valuable alternative to conventional on-pump coronary artery bypass grafting (CABG), particularly in high-risk patients in whom cardiopulmonary bypass may increase perioperative morbidity. This review combines current evidence with institutional experience to present a structured technical guide to OPCAB surgery, focusing on operative strategies, multi-arterial grafting, and intraoperative decision-making. Although OPCAB has a steep learning curve requiring consistent practice and disciplined execution, it remains highly relevant in contemporary cardiac surgery, particularly in patients with multiple comorbidities and complex coronary anatomy. This manuscript provides a technical review supported by institutional data and highlights key operative principles that facilitate safe adoption and reproducible outcomes.</p>

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Technical Mastery in OPCAB Surgery: An Institutional Review of Tips, Techniques, and Operative Approach

  • 期刊论文

  • 发表日期：

    2026年5月28日

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  • Chusak Nudaeng,
  • Thukten Chophel,
  • Raschareeya Santisevi

摘要

Off-pump coronary artery bypass (OPCAB) surgery remains a valuable alternative to conventional on-pump coronary artery bypass grafting (CABG), particularly in high-risk patients in whom cardiopulmonary bypass may increase perioperative morbidity. This review combines current evidence with institutional experience to present a structured technical guide to OPCAB surgery, focusing on operative strategies, multi-arterial grafting, and intraoperative decision-making. Although OPCAB has a steep learning curve requiring consistent practice and disciplined execution, it remains highly relevant in contemporary cardiac surgery, particularly in patients with multiple comorbidities and complex coronary anatomy. This manuscript provides a technical review supported by institutional data and highlights key operative principles that facilitate safe adoption and reproducible outcomes.