Why the study?
Does off-pump coronary-artery bypass surgery improve composite outcomes compared to on-pump surgery in patients undergoing CABG?
Does off-pump coronary-artery bypass surgery improve composite outcomes compared to on-pump surgery in patients undergoing CABG?
Off-pump CABG is associated with worse composite outcomes and poorer graft patency at 1 year compared to on-pump CABG.
Favors on-pump CABG for superior outcomes and patency; challenges routine off-pump use.
At 1 year of follow-up, patients in the off-pump group had worse composite outcomes and poorer graft patency than did patients in the on-pump group. No significant differences between the techniques were found in neuropsychological outcomes or use of major resources. (ClinicalTrials.gov number, NCT00032630.).
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Shroyer et al. (2009) studied this question.
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