Key result
Off-pump CABG peaked at nearly 25% of CABG operations in the United States in 2002, but its use has since plateaued and slowly declined amid ongoing controversy over its value compared to on-pump CABG.
This editorial discusses the historical context and ongoing controversy surrounding the use of on-pump versus off-pump coronary-artery bypass grafting.
The performance of coronary-artery bypass grafting (CABG) without the use of the heart–lung machine (pump) was introduced to avoid the damaging effects of cardiopulmonary bypass.1 On-pump CABG with cardiopulmonary bypass is generally performed on an arrested heart, and off-pump CABG on a beating heart, without cardiopulmonary bypass. Off-pump CABG became popular in the 1990s, peaking at just under 25% of the CABG operations performed in the United States in 2002; the rate then plateaued and has been slowly declining. Some surgeons remain enthusiasts, whereas others have never attempted it; many use it selectively.2,3 Controversy over the value of off-pump CABG . . .
No takes yet. Share an insight, caveat, or question.
Blackstone et al. (2017) conducted an editorial in Coronary artery disease requiring CABG. Off-pump CABG vs. On-pump CABG was evaluated. Off-pump CABG peaked at nearly 25% of CABG operations in the United States in 2002, but its use has since plateaued and slowly declined amid ongoing controversy over its value compared to on-pump CABG.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: