A systematic review of off-pump coronary artery bypass surgery with the aid of the Octopus Tissue Stabilizer(R)

Australian Safety and Efficacy Register of New Interventional Procedures - Surgical
Record ID 32000000917
English
Authors' objectives:

The aim of this report is to make recommendations on the safety and efficacy of off-pump coronary artery bypass (OPCAB) surgery with the aid of the Octopus(R) Tissue Stabilizer (OTS), in comparison to coronary artery bypass grafting (CABG) with cardiopulmonary bypass (CPB), on the basis of a systematic assessment of the peer-reviewed literature.

Authors' results and conclusions: The small sample size, poor evidence quality and limited postoperative outcome reporting of many studies meant that no definitive conclusion could be made regarding the safety and efficacy OPCAB/OTS in comparison to conventional CABG with CPB. Nonetheless, the limited comparative data suggested that there was no difference in safety outcomes between OPCAB/OTS and CABG. The paucity of efficacy data reported in the higher level comparative studies meant that it was impossible to assess whether OPCAB/OTS was more efficacious than CABG.
Authors' recommendations: The ASERNIP-S Review Group concluded that the evidence base for OPCAB/OTS was inadequate and recommended that an audit of the procedure be conducted. Additional clinical recommendations were made regarding the development and current practice of OPCAB/OTS in Australia during this audit phase.
Authors' methods: Systematic review
Details
Project Status: Completed
Year Published: 2000
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Australia
MeSH Terms
  • Cardiopulmonary Bypass
  • Coronary Artery Bypass
Contact
Organisation Name: Australian Safety and Efficacy Register of New Interventional Procedures-Surgical
Contact Address: ASERNIP-S 24 King William Street, Kent Town SA 5067 Australia Tel: +61 8 8219 0900
Contact Name: racs.asernip@surgeons.org
Contact Email: racs.asernip@surgeons.org
Copyright: Australian Safety and Efficacy Register of New Interventional Procedures - Surgical
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.