title: [Off-pump coronary artery bypass].
abstract: Development of beating heart coronary artery bypass surgery was possible since introduction of heart stabilizing instruments in mid-90's.
  To summarize available evidence of benefits of beating heart coronary artery bypass surgery in comparison with use of cardiopulmonary bypass during surgery. Methods of heart stabilization during operation without cardiopulmonary bypass allow to performing complete revascularization with lower degree of myocardial damage. The main advantage of beating heart coronary bypass surgery is excluding systemic inflammatory response following cardiopulmonary bypass use. And therefore less incident of renal failure, clotting disturbances, respiratory complications. There is lower incidence of microthrombotic formation and central nervous system complications. Early mortality is significantly lower and it is safer to operate on high risk patients (over 75 years old, female, with acute coronary syndrome, ascending aorta arteriosclerosis).
  
  
  CONCLUSIONS
  The technique of beating heart coronary artery bypass surgery reduces risk of central nervous system complications, renal failure, respiratory problems and coagulation disturbances. The complete revascularisation is possible. This technique is available to enlarging group of patients, especially the high perioperative risk patients.
authors.affiliation: Wojskowy Instytut Medyczny w Warszawie, Kliniczny Oddział Kardiochirurgii CSK MON. lukchoj@mediclub.pl
authors.forename: Łukasz
authors.initials: Ł
authors.lastname: Chojecki
authors.forename: Piotr
authors.initials: P
authors.lastname: Hendzel
authors.forename: Leszek
authors.initials: L
authors.lastname: Gryszko
authors.forename: Przemysław
authors.initials: P
authors.lastname: Szałański
authors.forename: Wojciech
authors.initials: W
authors.lastname: Szczawiński
authors.forename: Artur
authors.initials: A
authors.lastname: Rymsza
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Kostyra
authors.forename: Tomasz
authors.initials: T
authors.lastname: Hendzel
mesh_terms: D002315:Cardiopulmonary Bypass; D002986:Clinical Trials as Topic; D047549:Coronary Artery Bypass, Off-Pump; D003327:Coronary Disease / Q000601:surgery*; D006801:Humans; D016896:Treatment Outcome