During the past decade, technical improvements have made off-pump coronary artery bypass operations a routine procedure. During this time, off-pump coronary artery bypass has been audited against conventional techniques by many observational, case-matched, and prospective randomized studies. There is evidence in the literature suggesting that off-pump coronary artery bypass operations reduce postoperative morbidity, organ dysfunction, and costs, without compromising midterm outcome compared with conventional coronary operations. The available evidence also supports the view that high-risk patients might benefit the most from revascularization on the beating heart. High quality follow-up data are still needed to assess the impact of off-pump coronary artery bypass operations on long-term clinical outcome © 2003 by The Society of Thoracic Surgeons.
Ascione, R., Caputo, M., & Angelini, G. D. (2003, January 1). Off-pump coronary artery bypass grafting: Not a flash in the pan. Annals of Thoracic Surgery. https://doi.org/10.1016/S0003-4975(02)04020-1