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Beat Goes On in "Off-Pump" Bypass Surgery
Surgeon Experience May Be Key to Best Outcome
Mike Mitka
JAMA. 2004;291:1821-1822.
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Coronary artery bypass grafting (CABG), aided by a heart-lung machine to pump blood while the heart is temporarily immobilized, is one of the great medical advances of the 20th century. But some researchers are saying bypass surgery without such mechanical assistance may be even better in terms of reduced morbidity and cost.
The heart-lung machine, which provides the cardiac surgeon with a stable and bloodless environment in which to operate, is currently used for about 77% of all heart bypass cases. But there is morbidity associated with "on-pump" CABG, including heart damage, stroke, and wound infection.
As an alternative, some surgeons are performing "off-pump" CABG, in which a stabilizing device is used on the beating heart, allowing the surgeon to work without any need for the heart-lung machine. Advocates for off-pump CABG argue that it costs less than on-pump CABG and may be better tolerated by patients, as . . . [Full Text of this Article]
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Comparison of graft patency for off-pump and conventional coronary arterial bypass grafting using 64-slice multidetector spiral computed tomography angiography
Gao et al.
ICVTS 2009;8:325-329.
ABSTRACT
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Off-Pump Surgery Is Associated With Reduced Occurrence of Stroke and Other Morbidity as Compared With Traditional Coronary Artery Bypass Grafting: A Meta-Analysis of Systematically Reviewed Trials * Supplemental Appendix I
Sedrakyan et al.
Stroke 2006;37:2759-2769.
FULL TEXT
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