Key result
The choice between off-pump and on-pump coronary bypass surgery remains an individual decision based on surgeon expertise, as major trials and guidelines do not definitively favor one technique.
The choice between off-pump and on-pump CABG remains controversial and highly dependent on surgeon expertise, with major trials showing conflicting results.
Copyright: © 2014 Durukan AB. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. In recent years of coronary bypass surgery, despite the accelerated development of surgical techniques and equipment, the debate over off-pump and on-pump surgery has not lost its popularity. Classically the off-pump procedures are suitable for the patients with high rates of morbidity and potential mortality including low ejection fraction, stroke, chronic obstructive pulmonary disease and renal failure. However, the recommended surgical patient should preferentially have single vessel disease with anterior location without calcification, should be hemodynamically stable and should have every risk factor as low as possible [1]. Even this controversy creates a conflict in every single cardiac surgery resident beginning early in their education period. So, how can we decide on off-pump or on-pump “?”.
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Elıf Durukan (2014) conducted an editorial in Coronary artery disease. Off-pump coronary artery bypass surgery vs. On-pump coronary artery bypass surgery was evaluated. The choice between off-pump and on-pump coronary bypass surgery remains an individual decision based on surgeon expertise, as major trials and guidelines do not definitively favor one technique.
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