[Off-pump coronary bypass surgery: pros and cons].
Off-pump coronary artery bypass surgery is a well established surgical option for patients candidate to coronary artery bypass. Current evidence suggests that there are no differences between off-pump and on-pump coronary surgery in terms of major perioperative outcomes such as perioperative mortality, myocardial infarction, stroke, and renal failure, whereas off-pump coronary surgery seems to reduce some minor complications like atrial fibrillation, transfusion requirements, and postoperative hospital stay. However, some recent papers suggest that graft patency may be lower for grafts performed with the off-pump technique. In this paper we review current knowledge about pros and cons of off-pump and on-pump coronary bypass surgery.
Parolari
Alessandro
A
Cattedra di Cardiochirurgia, Centro Cardiologico Monzino IRCCS, Università degli Studi, Milano. aparolari@cardiologicomonzino.it
Alamanni
Francesco
F
Polvani
Gianluca
G
Agrifoglio
Marco
M
Zanobini
Marco
M
Porqueddu
Massimo
M
Roberto
Maurizio
M
Naliato
Moreno
M
Dainese
Luca
L
Fusari
Melissa
M
Tremoli
Elena
E
Biglioli
Paolo
P
D001281:Atrial Fibrillation / Q000209:etiology / Q000517:prevention & control; D016063:Blood Loss, Surgical / Q000517:prevention & control; D001803:Blood Transfusion / Q000706:statistics & numerical data; D000075202:Contraindications; D001026:Coronary Artery Bypass / Q000009:adverse effects; D047549:Coronary Artery Bypass, Off-Pump; D006801:Humans; D007902:Length of Stay; D015201:Meta-Analysis as Topic; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic; D016896:Treatment Outcome; D014654:Vascular Patency