**6.5 Hemodynamic instability and conversion to cardiopulmonary bypass**

In some of the situations, CABG should be performed on CPB. These are as follows:


Although avoidance of CPB is generally a worthwhile goal, it does not supersede the goals of hemodynamic stability and complete, precise revascularization.

### **6.6 Causes of hemodynamic instability**


**The risk of myocardial ischemia during off-pump CABG can be reduced by keeping the following points in consideration:**

*Coronary Artery Bypass Grafting: Surgical Anastomosis: Tips and Tricks DOI: http://dx.doi.org/10.5772/intechopen.88932*

