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Ann Thorac Surg 2008;86:690. doi:10.1016/j.athoracsur.2008.02.049
© 2008 The Society of Thoracic Surgeons
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Hisato Takagi
Takuya Umemoto
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Correspondence

Neurocognitive Decline After Off-Pump Versus On-Pump Coronary Artery Bypass

Hisato Takagi, MD, PhD, Norikazu Kawai, MD, Takuya Umemoto, MD, PhD

Department of Cardiovascular Surgery, Shizuoka Medical Center, 762-1 Nagasawa, Shimizu-cho, Sunto-gun, Shizuoka 411-8611, Japan

(Email: kfgth973@ybb.ne.jp).

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

To the Editor:

The recent randomized controlled trial (RCT) by Hernandez and associates [1] demonstrated no statistically significant difference in neurocognitive decline at discharge or at 6 months between conventional coronary artery bypass (CCAB) and off-pump coronary artery bypass (OPCAB) procedures. On the other hand, we previously performed a meta-analysis of RCTs of OPCAB versus CCAB and found better neurocognitive outcomes at 1 to 3 months, but negligible effects within 2 weeks and 6 to 12 months after the procedure . . . [Full Text of this Article]






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Copyright © 2008 by The Society of Thoracic Surgeons.