November 12, 2004European Heart Journal
Coronary artery bypass grafting on the beating heart: surgical revascularization for the next decade?
Why the study?
Does off-pump coronary artery bypass grafting improve outcomes and reduce costs compared to conventional on-pump CABG in patients requiring surgical revascularization?
Population
Patients referred for surgical revascularization
Comparison
Off-pump coronary artery bypass grafting on the… vs Conventional coronary artery bypass grafting…
Design
Review
Authors
Discussion
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Implication
May not yet alter practice due to missing long-term patency data; leaves open off-pump CABG role pending prospective trials.
Structured PICO
Does off-pump coronary artery bypass grafting improve outcomes and reduce costs compared to conventional on-pump CABG in patients requiring surgical revascularization?
P
Population
Patients referred for surgical revascularization
I
Intervention
Off-pump coronary artery bypass grafting (OPCAB) on the beating heart
C
Comparator
Conventional coronary artery bypass grafting (CABG) utilizing cardiopulmonary bypass (CPB) and cardioplegic arrest
O
Outcome
Morbidity, mid-term outcomes, and cost
Off-pump CABG shows promise as a potential new gold standard for surgical revascularization due to lower morbidity and cost, but its widespread adoption depends on long-term graft patency results and improved training programs.
Limitations
- Lack of reported long-term outcomes, particularly long-term graft patency
- Poor provision for training in off-pump techniques
Cite This Study
Murphy et al. (2004) studied this question.