[HSF] OPCAB

[Tea Acuff]

Everyone believes or at least likes to believe that what they do is best, except of course for Hal and maybe Tomas who are sure of it.
tea



----- Original Message ----
From: "NielsB at aol.com" <NielsB at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Tuesday, March 13, 2007 2:39:56 AM
Subject: Re: [HSF] OPCAB


To the previous statements on OPCAB I want to add a favorite one from Tom, 
from OPCABs early days in Buffalo: This is regarding the amount of ONCAB 
surgery:   Not everyone should be a pilot on the F-16.

Well the point is that most of the cardiac surgeons could be OPCAB surgeons 
if they wanted to, look at all the papers in the literature on teaching OPCAB. 
And look at the fact that the Japanese doing 60% OPCAB and 60% all arterial. 
Could it have some connection with the fact that the Japanese are making Toyota 
as well and not Chevy.

Sorry to say it is too bad that we as cardiac surgeons dont have a better 
product to compete with the   stents that are really not that great but still 
controlling the market.

Endoscopic LIMA-LAD, multiple arterial grafts OPCAB, robotic, connected etc. 

As we all know patients in general do not want that big operation with 
stopped heart etc. OPCAB pr se was just one step on the way towards a fully arterial 
revasc. off pump with a small incision.
Then we can compete very well and do   a great job for the patient at the 
same time.
Does anybody on the forum really believe that ONCAB is actually better than 
OPCAB?

Jacob Bergsland 


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