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April - 2012

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Showing Journal 9 of 12


Off-Pump or On-Pump Coronary-Artery Bypass Grafting at 30 Days

Andre Lamy, P.J.Devereaux, Dorairaij Prabhakaran, for the CORONARY Investigators. NEJM, 2012, 10.1056/nejmoa1200388

Comment

 Off-pump CABG was developed to reduce morbidity and mortality associated with cardiopulmonary bypass. It has been difficult to establish the effect on mortality, AMI, stroke and renal failure.

This large international, multi-centre, RCT, compared CABG to off-pump CABG in...


April



Previous Comments

The key problem here surely is the revascularisation rate in off pump CABG without any demonstrable benefits in the primary outcomes. Long term graft survival has also been questioned in other studies, which leaves me wondering about the role of off pump surgery. Any thoughts?
Robert Loveridge-10 Apr, 2012 06:05:55 AM