On pump coronary artery bypass graft surgery versus off pump coronary artery bypass graft surgery: a review.
There are two basic ways of performing coronary artery bypass graft surgery (CABG): on pump CABG and off pump CABG. Off pump CABG is relatively a newer procedure to on-pump CABG and does not require the use of the cardiopulmonary bypass machine. On pump CABG is the more traditional method of performing bypass surgery. However its resultant inflammatory effects cause renal dysfunction, gastrointestinal distress and cardiac abnormalities which have forced the surgeons to look for alternatives to the procedure. An extensive literature search revealed that on pump CABG causes better revascularization as compared to off pump CABG while off pump CABG has a much lower post operative morbidity and mortality especially in high risk patients. We suggest that the technique used should depend on the ease of the surgeon doing the operation as both the methods seem almost equally efficient according to the review.
Dow University of Health Sciences. shahzebkhan@gmail.com.
Muhammad Shahzeb
MS
Khan
Mohammad Yousuf-Ul
MY
Islam
Muhammad Umer
MU
Ahmed
Faizan Imran
FI
Bawany
Asadullah
A
Khan
Mohammad Hussham
MH
Arshad
D015897:Comorbidity; D001026:Coronary Artery Bypass / Q000379:methods* / Q000401:mortality; D047549:Coronary Artery Bypass, Off-Pump / Q000401:mortality; D006801:Humans; D012307:Risk Factors; D016896:Treatment Outcome