September 1, 2011Perfusion

Miniaturized extracorporeal circulation vs. off-pump coronary artery bypass grafting: What the evidence shows?

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Why the study?

Does miniaturized extracorporeal circulation improve clinical and non-clinical outcomes compared to off-pump coronary artery surgery in patients undergoing coronary artery bypass grafting?

Population

Patients undergoing coronary artery bypass grafting

Comparison

Miniaturized extracorporeal circulation (mECC) vs Off-pump coronary artery surgery (OPCAB)

Design

Review

Authors

LHLeanne HarlingCardiac Surgery PPPrakash P PunjabiImperial College Healthcare NHS Trust TAThanos AthanasiouCardiac Surgery

Discussion

Member takes

Implication

Proposed benefits and pitfalls of miniaturized extracorporeal circulation versus off-pump CABG lack supporting data; leaves open need for randomized trials.

Structured PICO

Does miniaturized extracorporeal circulation improve clinical and non-clinical outcomes compared to off-pump coronary artery surgery in patients undergoing coronary artery bypass grafting?

Population

Patients undergoing coronary artery bypass grafting

Intervention

Miniaturized extracorporeal circulation (mECC)

Comparator

Off-pump coronary artery surgery (OPCAB)

Outcome

Clinical and non-clinical outcomes

This review outlines the proposed benefits and pitfalls of miniaturized extracorporeal circulation compared to off-pump coronary artery surgery for revascularization.

Cite This Study

Harling et al. (2011) studied this question.

synapsesocial.com/papers/6a919de6d2f4cbd6c5fa4e84 https://doi.org/10.1177/0267659110396578

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Implication

Proposed benefits and pitfalls of miniaturized extracorporeal circulation versus off-pump CABG lack supporting data; leaves open need for randomized trials.