[HSF] OPCAB

[Tea Acuff]

Ajit Damle wrote:
Most well known institutions in the US, including the Mayo Clinic
and the Cleveland clinic do not do much off pump surgery at all.

Ajit, 
Which side of this argument about best therapy surgery are you making?
Tea

----- Original Message ----
From: Ajit Damle <damle at cableone.net>
To: OpenHeart-L at lists.hsforum.com
Sent: Tuesday, December 5, 2006 11:45:53 AM
Subject: [HSF] OPCAB


I wonder if Dr. Salerno's question was rhetoric. I can not believe a surgeon
of his caliber would be so ignorant and out of touch of American CABG
surgery. Most well known institutions in the US, including the Mayo Clinic
and the Cleveland clinic do not do much off pump surgery at all.

Ajit Damle

PS Incidentally, I think this Forum's great strength is the practical,
clinical advice you get from the many skilled, talented and experienced
surgeons (like Dr. Salerno, for example). But we do a poor job when we
venture into sweeping generalizations based on our individual, unscientific
biases, not supported by evidence.

Fortunately, I am sure, most of us can separate the wheat form chaff.








   

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Ramaiah,
Chandrashekar
Sent: Tuesday, December 05, 2006 9:37 AM
To: OpenHeart-L at lists.hsforum.com
Subject: RE: [HSF] how others will see us

Sure, most of the cases I do are on pump. As far as I know nearly 80% of the
cases and surgeons in this country still use the proven technique that is
easily reproducible.
Chand


-----Original Message-----
From: "Salerno, Tomas" <TSalerno at med.miami.edu>
To: "OpenHeart-L at lists.hsforum.com" <OpenHeart-L at lists.hsforum.com>
Sent: 12/5/06 8:59 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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