BMJ  2006;332 (10 June), doi:10.1136/bmj.332.7554.0

Off-pump CABG may be better than conventional CABG

Off-pump coronary artery bypass grafting (CABG) has similar rates of graft patency to conventional bypass surgery using cardiopulmonary bypass. Al-Ruzzeh and colleagues (p 1365) looked at 168 patients who needed primary isolated CABG and randomised them to conventional or off-pump technique. The authors evaluated graft patency after three months and found that in the conventional group angiographic patency was 92.7% and in the off-pump group it was 92.1%. However, patients in the off-pump group needed a shorter stay in hospital and their neurocognitive function was better preserved at six weeks and six months.

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Relevant Article

Effect of off-pump coronary artery bypass surgery on clinical, angiographic, neurocognitive, and quality of life outcomes: randomised controlled trial

Sharif Al-Ruzzeh, Shane George, Mahmoud Bustami, Jo Wray, Charles Ilsley, Thanos Athanasiou, and Mohamed Amrani
BMJ 2006 332: 1365. [Abstract] [Full Text] [PDF]