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Coronary Artery Bypass Graft (CABG) vs Off-Pump Coronary Artery Bypass (OPCAB)
| Coronary Artery Bypass Graft (CABG) | Off-Pump Coronary Artery Bypass (OPCAB) | |
|---|---|---|
| Category | cardiology | cardiology |
| Cost (USD range) | $7,000–$50,000 | $22,000–$70,000 |
| Average recovery (days) | 56 | 56 |
| Typical sessions | 1 | 1 |
| Complication rate | 10.00% | 8.00% |
| Revision rate | — | 5.00% |
| Anaesthesia | general | general |
| Documented risks | 5 entries | 5 entries |
| Registry-listed clinics | 6 clinics | 6 clinics |
Coronary Artery Bypass Graft (CABG)
CABG surgery reroutes blood around blocked or narrowed coronary arteries using grafts harvested from the patient's chest, leg, or arm. It is typically recommended when coronary artery disease is severe or extensive, or when other treatments have failed. The procedure is performed under general anaesthesia with or without cardiopulmonary bypass.
View Coronary Artery Bypass Graft (CABG) pageOff-Pump Coronary Artery Bypass (OPCAB)
Off-pump coronary artery bypass (OPCAB) is a CABG technique performed on a beating heart without cardiopulmonary bypass. The surgeon uses tissue stabilisers to immobilise the small area of the coronary artery being grafted while the rest of the heart continues to beat. OPCAB avoids the systemic inflammatory response and other physiological consequences of cardiopulmonary bypass, but is technically more demanding than on-pump CABG and may produce slightly fewer complete revascularisations in some hands. ACC/AHA guidelines recommend OPCAB as a reasonable alternative to on-pump CABG in selected patients, particularly those with calcified ascending aortas where aortic cannulation is high-risk.
View Off-Pump Coronary Artery Bypass (OPCAB) page