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Ann Thorac Surg 2006;81:2095-2096
© 2006 The Society of Thoracic Surgeons

Original article: Cardiovascular

Invited commentary

Derek D. Muehrcke, MD

300 Health Park Blvd, Suite 5000, St. Augustine, FL 32086

(Email: dmuehrcke@aol.com).

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

The report [1] is a perspective randomized trial comparing on-pump surgery and off-pump surgery in 120 patients with angiography being performed intraoperatively at 3 and 12 months. Global myocardial function determined graft patency and was estimated by magnetic resonance imaging preoperatively and 12 months postoperatively.

After 12 months, there was no difference in the internal mammary artery patency rate. There was no difference in the vein patency rate. The authors conclude that at 12-month follow-up off-pump surgery provided the same angiographic patency as on-pump technique. Functional status and exercise capacity was the same in both groups. No mention is made of any additional interventions in the conclusions.

Based on this study, it seems that by all accounts, on-pump and off-pump surgery are equivalent. . . . [Full Text of this Article]


Related Article

Clinical and Radiologic Outcome of Off-Pump Coronary Surgery at 12 Months Follow-Up: A Prospective Randomized Trial
Per Snorre Lingaas, Per Kristian Hol, Runar Lundblad, Kjell Arne Rein, Lars Mathisen, Hans-Jørgen Smith, Rune Andersen, Erik Thaulow, Tor Inge Tønnesen, Jan Ludvig Svennevig, Sigurd Nitter Hauge, Per Morten Fredriksen, Marit Andersen, and Erik Fosse
Ann. Thorac. Surg. 2006 81: 2089-2095. [Abstract] [Full Text] [PDF]





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