[HSF] how others will see us

[Tea Acuff]

I personally use the pump around 5% of the time occasionally more depending on the mix, but I rarely use the cross clamp for isolated CABGs. I think less than once a year. I did say off pump not beating heart which is the distinction I think that you are making. I don't really like the rigid "off pump" classification vs "on".
Tea


----- Original Message ----
From: "Salerno, Tomas" <TSalerno at med.miami.edu>
To: OpenHeart-L at lists.hsforum.com
Sent: Tuesday, December 5, 2006 7:58:53 AM
Subject: RE: [HSF] how others will see us


Are there surgeons out there still using the heart lung machine and
cardioplegic arrest in coronary artery surgery?


Tomas

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of
wftjrtyler at aol.com
Sent: Tuesday, December 05, 2006 8:30 AM
To: OpenHeart-L at lists.hsforum.com
Subject: Re: [HSF] how others will see us

Hal.....there IS consensus mitral valve repair is superior to
replacement but NOT everyone is doing it.....Although no consensus re:
superiority of OPCAB evidence continues to mount......OPCAB IS more
difficult to perform requiring a different "mindset"and
experience,perserverance,and patience to overcome learning curve(ala
mitral repair)........bill turner


















-----Original Message-----
From: 



















Hgrmd at aol.com
To: OpenHeart-L at lists.hsforum.com
Sent: Tue, 5 Dec 2006 6:07 AM
Subject: Re: [HSF] how others will see us


Tea,
  Whew!  Take a breath!  All I can tell you is that there is  no
consensus in 
the surgical community that OPCAB is superior.  Otherwise,  everybody
would 
be doing it.  I happen to like it for the right p
atient,  because I think the 
pump is inherently bad for the brain.  However, you  have to admit that
the 
evidence is not overwhelming.  They've been debating  this for years at
the 
national meetings.  
Hal
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