800,000 life-saving CABGs
40 years of collaborative innovation
1 shared goal: advancing patient care
Getinge at the heart of the CABG patient
For more than 50 years, coronary artery bypass graft (CABG) surgery has been the standard of care for revascularization of patients with coronary artery disease.[1]
Today’s CABG patient has a higher risk profile due to multiple co-morbidities, which contributes to an increase in surgical complexity, perioperative complications and cost.[2] These patients present new challenges and have specific resource requirements, from pre-operative stabilization to intra-operative treatment and post-operative recovery.
For more than 40 years, we have shared the goal of improving your cardiac surgery service. Discover how Getinge innovations can help you enhance patient care, reduce operational costs and contribute to a positive patient experience.[3]
Ensuring pre-operative stabilization
More than 30% of patients presenting for CABG surgery are considered high-risk.[4] Some of these high-risk patients have predicted morbidity and mortality rates greater than 80%.[5]
Advanced Patient Monitoring
Preemptive hemodynamic optimization can help avoid intra- and post-operative complications before a patient becomes critical.[6] Our tools guide you to define the best individual treatment for patients with challenging hemodynamics conditions.
IABP Therapy
In the presence of ongoing ischemia or left ventricular dysfunction, pre-operative intra-aortic balloon pump (IABP) therapy can provide myocardial protection by reducing perioperative myocardial ischemia, stabilizing hemodynamics and improving coronary perfusion.[7]
Learn why IABP therapy should be the first line of support for high-risk patients
Enabling intra-operative treatment
Approximately 33% of patients experience at least one complication following CABG surgery, of which nearly 40% of these patients suffer one or more major morbidities.[2]
Today’s high-risk patient requires innovative therapies and devices to minimize the risk of post-op complications. Whether it is the delivery of anesthesia, beating heart surgery or supporting a failing heart, using the right tool can help reduce complications, ventilation time and hospital costs.
Anesthesia
Anesthesia is a standard part of intra-operative care. When combined with advanced ventilation strategies, it can help reduce postoperative complications, minimize agent usage, and give you more time to focus on patients.[8]
Beating Heart Surgery
Off-pump coronary artery bypass (OPCAB) reduces patient morbidity and mortality, decreases the incidence of acute renal failure, reduces transfusions, improves post-surgery neurological outcomes, decreases postoperative stroke risk, and shortens recovery times as an alternative to on-pump surgery.
Endoscopic Vessel Harvesting
Endoscopic vessel harvesting (EVH) is at the forefront of technological advances that improve vessel harvesting for coronary artery bypass graft (CABG) surgery. The EVH procedure uses a smaller incision to obtain a bypass conduit for CABG than traditional vessel harvesting procedures, leading to faster recovery, better clinical outcomes, and enhanced patient satisfaction.
Mechanical Circulatory Support
Ensure personalized support for patients with hemodynamic instability. Our solutions offer the option to deliver partial to full level support of the heart and/or lungs.
Supporting post-operative recovery
Low cardiac output syndrome and prolonged mechanical ventilation are common and costly post-operative complications following CABG surgery.[2], [10]
Fortunately, there are advanced technologies that can facilitate successful management of these complications. Using the right tool can help patients recover faster through goal-directed therapy with advanced patient monitoring systems, mechanical circulatory support, or protective ventilation strategies.
Advanced Patient Monitoring
Avoid intra- and post-operative complications with perioperative hemodynamic optimization — before a patient becomes critical. Our tools guide you to define the best individual treatment for patients with challenging hemodynamics conditions.[6]
Mechanical Ventilation
Thoracic Drainage
Getinge has mastered the education of chest drainage. While the practical application of thoracic drainage techniques is relatively simple, many times the chest drain and its accompanying terminology appear complex. We strive to help make thoracic drainage systems simple to understand and easy-to-use.
Getinge solutions along the clinical pathway
In everything that we do, we consider the complexity of hospitals‘ needs, and the value of over-arching support along the complete in-hospital clinical pathway.
Our products for CABG surgery serve crucial steps along the pathway of treatment and recovery, particularly for your highest-risk patients. Our solutions make us the preferred Medtech partner to help improve efficiency and outcomes for CABG procedures.
All references
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European Heart Journal, Volume 34, Issue 37, 1 October 2013, Pages 2862–2872
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Cost of Individual complications following coronary artery bypass grafting. J Thorac Cardiovasc Sug 2018;155:875-82.
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Data on file
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High Risk CABG Patients: Incidence, Surgical Strategies and Results: Ann Thorac Surg 2004;77:574–80
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Results of the STS Adult Cardiac Surgery Online Risk Calculator. Accessed 9 August 2018.
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Goal-directed therapy in cardiac surgery: a systematic review and meta-analysis British Journal of Anaesthesia 110 (4): 510–17 (2013)
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Preoperative intra-aortic balloon pump use in high-risk patients prior to coronary artery bypass graft surgery decreases the risk for morbidity and mortality—A meta-analysis of 9,212 patients. J Card Surg. 2017;32:177–185
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Carlos Ferrando, Marina Soro, and Francisco J. Belda.
Protection strategies during cardiopulmonary bypass: ventilation, anesthetics and oxygen. Curr Opin Anesthesiol 2015, 28:73–80 -
The Future of OPCAB. J Thorac Dis 2016;8(Suppl 10):S832-S838
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Low Cardiac Output Syndrome After Cardiac Surgery. Journal of Cardiothoracic and Vascular Anesthesia 31 (2017) 291–308
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Mechanical Ventilation: Conventional & Non-Conventional.
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Kim et al. Diaphragm dysfunction (DD) assessed by ultrasonography: influence on weaning from mechanical ventilation. Crit Care Med. 2011 Dec;39(12):2627-30.
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Heunks L, Ottenheijm C. Diaphragm Protective Mechanical Ventilation to Improve Outcome in ICU Patients? Am J Respir Crit Care Med. 2017
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De la Oliva P, et al. Asynchrony, neural drive, ventilatory variability and comfort: NAVA versus pressure support in pediatric patients. Intensive Care Med. 2012 May;38(5):838-46.