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J Thorac Cardiovasc Surg 2007;133:1
© 2007 The American Association for Thoracic Surgery
Editorial |
Department of Cardiothoracic Surgery, Christiana Hospital, Christiana Health Care System, Newark, Del.
Received for publication September 12, 2006; accepted for publication September 20, 2006. * Address for reprints: Timothy J. Gardner, MD, Department of Cardiothoracic Surgery, Christiana Hospital, Christiana Health Care System, Management Suite 1218, PO Box 6001, Newark, DE 19718. (Email: tgardner@christianacare.org; lthomas@christianacare.org).
| The first 20% of the full text of this article appears below. |
On the basis of a meta-analysis of five published reports that compare results of off-pump (OPCAB) versus on-pump coronary bypass graft (CABG) procedures, Takagi and his coauthors1
claim that OPCAB resulted in a significant increase in overall graft occlusion. Their conclusion is based on follow-up angiographic studies done between 3 and 12 months in these randomized patients. Their analyses of the data from these five studies seem to establish that vein graft patency at 3 to 12 months after surgery is reduced with OPCAB. On this basis, the authors ask: "Dare we perform OPCAB rather than CABG to merely
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