On-Pump vs Off-Pump CABG: Types of Bypass Surgery
                     Callll  Uss::  9603040506                                                                                                                                                                                      Webssiitte::  httttpss::////www..drrggokhalle..ccom//
Clogged arteries decrease the supply of oxygen to the heart. This causes pain in movement as well as 
weakness and impaired organ functioning. Bypass surgery involves the use of healthy leg or chest blood 
vessels to divert blood and reestablish normal flow through damaged or constricted blood vessels. Join 
us as we highlight the fundamentals of the types of bypass surgery, i.e. on-pump and off-pump CABG.
How and When On-Pump CABG Works in Practice?
So, how is on-pump bypass surgery performed? Let’s find out!
On-pump CABG involves briefly stopping the heart and pumping blood to the body with the help of a 
machine that delivers oxygen to the body. The machine maintains the circulation constant as the 
surgeon grafts new vessels without the heart movement interfering with stitch control or visual access.
Callll  Uss::  9603040506                                                                                                                                                                                      Webssiitte::  httttpss::////www..drrggokhalle..ccom//
This technique facilitates longer surgeries in which over two arteries are to be 
repaired or in which the structure is so complicated that it adds time to the 
surgery. Surgeons often choose this method for patients with diabetes, along 
with multi-vessel disease or highly calcified arteries that require longer repair 
time.
The heart-lung machine provides a clean field to work with, but it may lead to 
side effects in older adults or people with kidney issues. Some patients 
experience temporary confusion or slow recovery because of the way the 
machine interacts with the body during the operation.
Callll  Uss::  9603040506                                                                                                                                                                                      Webssiitte::  httttpss::////www..drrggokhalle..ccom//
How Off-Pump CABG Avoids the Machine?
In off-pump CABG, the heart continues to beat during surgery, and the surgeon 
stabilises one section at a time using manual or mechanical tools. Blood moves 
naturally during the entire procedure.
It helps to avoid the potential impact of mechanical circulation on the brain or 
immune response. This option reduces the risk of complications linked to machines 
and may help with faster discharge and less inflammation after surgery.
Callll  Uss::  9603040506                                                                                                                                                                                      Webssiitte::  httttpss::////www..drrggokhalle..ccom//
Where Off-Pump CABG May Be Suitable?
So, when is off-pump bypass recommended? Conventionally, off-pump CABG is often used 
for patients with mild disease or where only one or two vessels need to be grafted with 
minimal surgical time. 
It can help in people who have already had strokes or those who may not tolerate large 
fluid shifts or long anaesthesia periods. Patients with liver disease or poor kidney function 
may also be better suited to off-pump surgery when the risk needs to be minimised early.
Callll  Uss::  9603040506                                                                                                                                                                                      Webssiitte::  httttpss::////www..drrggokhalle..ccom//
Final Overview: What Both Procedures Aim to Solve
Both approaches aim to restore blood flow so the heart muscle can receive oxygen support during 
regular activity and post-surgical recovery periods. Neither method changes the purpose of the 
surgery, which is to reduce symptoms and protect the heart from long-term complications caused 
by low flow.
Choice depends on heart condition, overall health test results, and the surgeon’s ability to manage 
risk across different surgical pathways. Dr Gokhale heart specialist, performs both on-pump and 
off-pump CABG using detailed clinical evaluation to guide treatment that matches each patient’s 
recovery capacity and heart structure.
Callll  Uss::  9603040506                                                                                                                                                                                      Webssiitte::  httttpss::////www..drrggokhalle..ccom//
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Callll  Uss::  9603040506                                                                                                                                                                                      Webssiitte::  httttpss::////www..drrggokhalle..ccom//
Contact Us
Dr. Alla Gopala Krishna Gokhale
Apollo Hospitals, Jubilee Hills,
Hyderabad,
Telangana,
500 033
India.
Days Available & Timings: Mon-Fri 10am - 5:00pm
Emergency Number(s): 9603040506
Contact Number(s): 91-40-2360 7777 / 5555 / 2000
Callll  Uss::  9603040506                                                                                                                                                                                      Webssiitte::  httttpss::////www..drrggokhalle..ccom//