title: Does off-pump coronary surgery endanger long term survival?
abstract: In this issue Ibrahim and co-authors report on technical hazards of off-pump (without heart lung machine) coronary surgery 1. Their findings are in line with meta-analyses of randomized trials which indicate that under-grafting and graft-failures are more common after off-pump than after standard operations. The risk that the objectives of coronary bypass surgery are endangered is discussed in relation to evidence based medicine. A moratorium is suggested until conclusive data are available.
authors: Rolf
authors: R
authors: Ekroth
authors: Anders
authors: A
authors: Odén
authors: Elisabeth
authors: E
authors: Ståhle
authors: Lars
authors: L
authors: Werkö
mesh_terms: D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects / Q000401:mortality*; D003327:Coronary Disease / Q000401:mortality* / Q000601:surgery; D006801:Humans; D016032:Randomized Controlled Trials as Topic; D012307:Risk Factors