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Off-pump versus on-pump coronary artery bypass grafting

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@article{4e26024c963142df98f4e6f39bde1316,
title = "Off-pump versus on-pump coronary artery bypass grafting",
abstract = "Coronary artery bypass grafting (CABG) remains the preferred treatment in patients with complex coronary artery disease. However, whether the procedure should be performed with or without the use of cardiopulmonary bypass, referred to as off-pump and on-pump CABG, is still up for debate. Intuitively, avoidance of cardiopulmonary bypass seems beneficial as the systemic inflammatory response from extracorporeal circulation is omitted, but no single randomized trial has been able to prove off-pump CABG superior to on-pump CABG as regards the hard outcomes death, stroke or myocardial infarction. In contrast, off-pump CABG is technically more challenging and may be associated with increased risk of incomplete revascularization. The purpose of the review is to summarize the current literature comparing outcomes of off-pump versus on-pump coronary artery bypass surgery.",
keywords = "Acute Kidney Injury, Coronary Artery Bypass, Coronary Artery Bypass, Off-Pump, Coronary Artery Disease, Graft Occlusion, Vascular, Humans, Myocardial Infarction, Risk Factors, Stroke, Treatment Outcome, Vascular Patency",
author = "M{\o}ller, {Christian H} and Steinbr{\"u}chel, {Daniel A}",
year = "2014",
month = "3",
doi = "10.1007/s11886-013-0455-2",
language = "English",
volume = "16",
pages = "455",
journal = "Current Cardiology Reports",
issn = "1534-3170",
publisher = "Current Science Inc",
number = "3",

}

RIS

TY - JOUR

T1 - Off-pump versus on-pump coronary artery bypass grafting

AU - Møller, Christian H

AU - Steinbrüchel, Daniel A

PY - 2014/3

Y1 - 2014/3

N2 - Coronary artery bypass grafting (CABG) remains the preferred treatment in patients with complex coronary artery disease. However, whether the procedure should be performed with or without the use of cardiopulmonary bypass, referred to as off-pump and on-pump CABG, is still up for debate. Intuitively, avoidance of cardiopulmonary bypass seems beneficial as the systemic inflammatory response from extracorporeal circulation is omitted, but no single randomized trial has been able to prove off-pump CABG superior to on-pump CABG as regards the hard outcomes death, stroke or myocardial infarction. In contrast, off-pump CABG is technically more challenging and may be associated with increased risk of incomplete revascularization. The purpose of the review is to summarize the current literature comparing outcomes of off-pump versus on-pump coronary artery bypass surgery.

AB - Coronary artery bypass grafting (CABG) remains the preferred treatment in patients with complex coronary artery disease. However, whether the procedure should be performed with or without the use of cardiopulmonary bypass, referred to as off-pump and on-pump CABG, is still up for debate. Intuitively, avoidance of cardiopulmonary bypass seems beneficial as the systemic inflammatory response from extracorporeal circulation is omitted, but no single randomized trial has been able to prove off-pump CABG superior to on-pump CABG as regards the hard outcomes death, stroke or myocardial infarction. In contrast, off-pump CABG is technically more challenging and may be associated with increased risk of incomplete revascularization. The purpose of the review is to summarize the current literature comparing outcomes of off-pump versus on-pump coronary artery bypass surgery.

KW - Acute Kidney Injury

KW - Coronary Artery Bypass

KW - Coronary Artery Bypass, Off-Pump

KW - Coronary Artery Disease

KW - Graft Occlusion, Vascular

KW - Humans

KW - Myocardial Infarction

KW - Risk Factors

KW - Stroke

KW - Treatment Outcome

KW - Vascular Patency

U2 - 10.1007/s11886-013-0455-2

DO - 10.1007/s11886-013-0455-2

M3 - Journal article

VL - 16

SP - 455

JO - Current Cardiology Reports

JF - Current Cardiology Reports

SN - 1534-3170

IS - 3

ER -

ID: 45071598