Coronary Artery Bypass Grafting on the Beating Heart: Changing the Paradigm

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Puskas J.D. , Williams W.H. , Duke P.G. . Off pump coronary artery bypass grafting provides complete revascularisation with reduced myocardial injury, transfusion requirements, and length of stay: a prospective randomized comparison of two hundred unselected patients undergoing off pump versus conventional coronary artery bypass grafting. J Thorac Cardiovasc Surg 2002; 125: 797–806

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Légaré J.F. , Buth K.J. , King S. . Coronary bypass surgery performed off pump does not result in lower in-hospital morbidity than coronary artery bypass grafting performed on pump. Circulation 2004; 109: 887–92

Gerola L.R. , Buffolo E. , Jisbic W. . Off-pump versus on-pump myocardial revascularization in low-risk patients with one or two vessel disease: perioperative results in a multicenter randomized controlled trial. Ann Thorac Surg 2004; 77: 569–73

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Magee M.J. , Jablonski K.A. , Stamou S.C. . Elimination of cardiopulmonary bypass improves early survival for multivessel coronary artery bypass patients. Ann Thorac Surg 2002; 73: 1196–203

Cleveland J.C. Jr. , Shroyer A.L. , Chen A.Y. , Peterson E. , Grover F.L. Off pump coronary artery bypass grafting decreases risk-adjusted mortality and morbidity. Ann Thorac Surg 2001; 72: 1282–8

Nathoe H.M. , van Dijk D. , Jansen E.W. . A comparison of on pump and off pump coronary bypass surgery in low-risk patients. N Engl J Med 2003; 348: 394–402

Ascione R. , Reeves B.C. , Taylor F.C. , Seehra H.K. , Angelini G.D. Beating Heart Against Cardioplegic Arrest Studies (BHACAS 1 and 2): quality of life at mid-term follow-up in two randomised trials. Eur Heart J 2004; 25: 765–70

Caputo M. , Chamberlain M. , Ozalp F. . Off-pump coronary operations can be safely taught to cardiothoracic trainees. Ann Thorac Surg 2001; 71: 1215–19

Caputo M. , Bryan A.J. , Capoun R. . The evolution of training in off pump coronary surgery in a single institution. Ann Thorac Surg 2002; 74(suppl): S1403–7

Magee M.J. , Coombs L.P. , Peterson E.D. , Mack M.J. Patient selection and current practice strategy for off-pump coronary Artery bypass surgery. Circulation 2003; 108(suppl II): 119–14

Puskas J.D. , Thourani V.H. , Marshall J.J. . Clinical outcomes, angiographic patency, and resource utilisation in 200 consecutive off-pump coronary bypass patients. Ann Thorac Surg 2001; 71: 1477–83

Kobayashi J. , Tagusari O. , Bando K. . Total arterial off-pump coronary revascularization with only internal thoracic artery and composite radial artery grafts. Heart Surg Forum 2002; 6: 30–7

Khan N.E. , De Souza A. , Mister R. . A randomized comparison of off pump and on pump multivessel coronary-artery bypass surgery. N Engl J Med 2004; 350: 21–8

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Song H.K. , Petersen R.J. , Sharoni E. , Guyton R.A. , Puskas J.D. Safe evolution towards routine off-pump coronary artery bypass: negotiating the learning curve. Eur J Cardiothorac Surg 2003; 24: 947–52

Ascione R. , Reeves B.C. , Pano M. , Angelini G.D. Trainees operating on high-risk patients without cardiopulmonary bypass: a high-risk strategy? Ann Thorac Surg (in press)

Caputo M. , Reeves B.C. , Rogers C.A. , Ascione R. , Angelini G.D. Monitoring the performance of residents during training in off-pump coronary surgery. J Thorac Cardiovasc Surg (in press)