Commentary: Reinventing the wheel: Off- versus on-pump redo coronary artery bypass grafting

The use of off-pump techniques for coronary artery bypass grafting (CABG) peaked in the 1990s but continues to decline. In 2016, only 13% of all CABG surgery were performed off-pump.1 It was originally introduced to avoid the adverse effects of cardiopulmonary bypass and minimize aortic manipulation. However, multiple trials have failed to show a clear advantage for the off-pump CABG. The CABG Off- or On-Pump Revascularization Study (CORONARY) did not show a significant difference in the composite outcome of death, stroke, renal failure, myocardial infarction, and the need for repeat revascularization up to 5  years.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Commentary Source Type: research