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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 11/2014

01-11-2014 | Review Article

Off-pump coronary surgery: current justifications

Authors: Haralabos Parissis, B. C. Ramesh, Bassel Al-Alao

Published in: General Thoracic and Cardiovascular Surgery | Issue 11/2014

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Abstract

Although the literature has failed to project an overall superiority of off-pump vs. on-pump surgery, nevertheless, small randomized control trials and large meta-analysis studies have concluded that the incidence of a stroke is less than 1 % when anaortic off-pump techniques are advocated in patients with diseased ascending aorta. Furthermore, off-pump techniques or their combination with hybrid procedures may lead to a reduction of adverse outcome in the aged high-risk population with concomitant poor left ventricular function and co-morbidities. However, despite this, controversy still exists among the cardiac surgery community in terms of the benefit of this technique and its safety; hence, off-pump is becoming out of fashion. In this review paper, by looking at a “marginal group of patients” (elderly, high risks, atherosclerotic aortas) we attempt to re-establish and justify this technique and re-invent its usage.
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Metadata
Title
Off-pump coronary surgery: current justifications
Authors
Haralabos Parissis
B. C. Ramesh
Bassel Al-Alao
Publication date
01-11-2014
Publisher
Springer Japan
Published in
General Thoracic and Cardiovascular Surgery / Issue 11/2014
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-014-0470-2

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