title: [Off-pump coronary bypass surgery: pros and cons].
abstract: 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.
authors.affiliation: Cattedra di Cardiochirurgia, Centro Cardiologico Monzino IRCCS, Università degli Studi, Milano. aparolari@cardiologicomonzino.it
authors.forename: Alessandro
authors.initials: A
authors.lastname: Parolari
authors.forename: Francesco
authors.initials: F
authors.lastname: Alamanni
authors.forename: Gianluca
authors.initials: G
authors.lastname: Polvani
authors.forename: Marco
authors.initials: M
authors.lastname: Agrifoglio
authors.forename: Marco
authors.initials: M
authors.lastname: Zanobini
authors.forename: Massimo
authors.initials: M
authors.lastname: Porqueddu
authors.forename: Maurizio
authors.initials: M
authors.lastname: Roberto
authors.forename: Moreno
authors.initials: M
authors.lastname: Naliato
authors.forename: Luca
authors.initials: L
authors.lastname: Dainese
authors.forename: Melissa
authors.initials: M
authors.lastname: Fusari
authors.forename: Elena
authors.initials: E
authors.lastname: Tremoli
authors.forename: Paolo
authors.initials: P
authors.lastname: Biglioli
mesh_terms: 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