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Ann Thorac Surg 2003;76:1148
© 2003 The Society of Thoracic Surgeons

Invited commentary

Box 356310, 1959 NE Pacific Street, AA115, Seattle, WA 98195-6310, USA

e-mail: aldea@u.washington.edu

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Off-pump (OP) CABG has become an accepted routine procedure now offered and practiced by nearly all cardiac surgical centers, but to different degrees and to different subsets of patients. Advances in technologies to displace the heart with minimal hemodynamic compromise and to stabilize the heart and limit ischemia have been rapidly adopted in most centers, with routine use of surface stabilizers and intracoronary shunts. While OP-CABG has absorbed the creative imagination of the surgical community and the resources of industry, cardiopulmonary bypass equipment and techniques used by the same surgical teams have changed little in the past 20 years. Centrifugal pumps, membrane oxygentors, more precise . . . [Full Text of this Article]