Off-pump coronary surgery: Where do we stand in 2010?

Michael E. Halkos, John D. Puskas

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

PURPOSE OF REVIEW: In this review, we will highlight recent studies comparing off-pump coronary artery bypass surgery with traditional on-pump coronary artery bypass surgery. RECENT FINDINGS: Current literature comparing off-pump vs. on-pump coronary artery bypass has failed to demonstrate the superiority of one technique over the other. Small prospective randomized controlled trials continue to show equivalent in-hospital outcomes and continue to raise concerns about vein graft patency and completeness of revascularization. Larger observational analyses are better powered to statistically compare in-hospital outcomes in both low and high-risk patients and in general have shown more favorable in-hospital outcomes and equivalent long-term outcomes with off-pump compared with on-pump coronary artery bypass. SUMMARY: Off-pump coronary artery bypass continues to be a useful technique for coronary revascularization. The benefits of off-pump techniques may be more apparent for patients at high risk for complications associated with cardiopulmonary bypass and aortic manipulation.

Original languageEnglish
Pages (from-to)583-588
Number of pages6
JournalCurrent Opinion in Cardiology
Volume25
Issue number6
DOIs
StatePublished - Nov 2010
Externally publishedYes

Keywords

  • coronary artery bypass
  • graft patency
  • off-pump
  • revascularization

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