Why the study?
Does off-pump coronary artery bypass surgery (OPCAB) provide noninferior intermediate-term outcomes compared to conventional coronary artery bypass grafting in elderly patients?
Does off-pump coronary artery bypass surgery (OPCAB) provide noninferior intermediate-term outcomes compared to conventional coronary artery bypass grafting in elderly patients?
While both on-pump and off-pump CABG are safe and improve quality of life in elderly patients, the noninferiority of OPCAB could not be statistically confirmed.
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Noninferiority of OPCAB unconfirmed in elderly patients; leaves open optimal technique pending randomized data.
Both conventional coronary artery bypass grafting and OPCAB are safe procedures that improved the quality of life when performed in elderly patients. No major differences in intermediate-term outcomes were found. However, the noninferiority of OPCAB with the prespecified margin could not be confirmed.
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Houlind et al. (2012) studied this question.
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