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Ann Thorac Surg 2003;75:1362-1363
© 2003 The Society of Thoracic Surgeons

Correspondence

A request for clarification: Reply

Raimondo Ascione, MD, Barnaby C. Reeves, PhD, Gianni D. Angelini, FRCS

Department of Cardiac Surgery, Bristol Heart Institute, Bristol Royal Infirmary, Upper Maudlin Street, Bristol BS2 8HW, United Kingdom

The first 20% of the full text of this article appears below.

To the Editor:

We thank Dr Millner for his comments. The main aim of our observational study [1] was to assess the overall effectiveness of off- and on-pump coronary surgery in high-risk patients. We did not focus on blood-saving techniques because in this group of patients many confounding variables may affect blood loss and transfusion requirement. Such end points are best investigated with controlled trials like the BHACAS 1 and 2 [2], recently conducted at our institute, which showed that blood loss and transfusion requirement were significantly higher in the on-pump compared . . . [Full Text of this Article]






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