OBJECTIVES The Arterial Revascularization Trial (ART) is a randomized comparison of bilateral internal mammary artery (BIMA) versus single internal mammary artery (SIMA) grafting in coronary artery bypass graft (CABG) surgery and is one of the largest randomized trials of surgery ever conducted. ART is also one of the largest studies of contemporary CABG with a high proportion of off-pump surge...

background: there are some conflicting results with conventional coronary artery bypass grafts (ccabg) with arrested heart in coronary high-risk patients. moreover, performing off-pump cabg in these cases may be associated with serious complications. the objective of this study is to evaluate the efficacy of the on-pump beating cabg (opbcabg) in coronary high-risk patients in comparison with th...

BACKGROUND The outcome of the off-pump coronary artery bypass grafting (CABG) is highly dependent on surgical techniques. To overcome problems of intraoperative hemodynamic instability and avoid potential injury to coronary artery arising from occlusive technique, the authors have modified the strategy of performing distal anastomosis by using the authors' homemade intracoronary artery shunt. ...

BACKGROUND Off-pump coronary artery bypass graft (CABG) surgery is purported to reduce perioperative mortality and morbidity compared with on-pump coronary bypass graft surgery. However, the outcomes of patients for whom an off-pump strategy must be changed to an on-pump procedure during surgery have not been extensively studied. METHODS AND RESULTS The Merged Cardiac Registry (Health Data Re...

background: surgical site infection is known as a common complication after cardiac surgery, and cefazolin is the best prophylactic antibiotic to prevent this complication. the goal of this study was to evaluate the effect of continuous and intermittent cefazolin for the prevention of superficial surgical site infection following off-pump coronary artery bypass (opcab). methods: this prospectiv...

background: it is well documented that coronary artery bypass grafting (cabg) with cardiopulmonary bypass (cpb) causes ischemia and oxidative stress of the whole body. to compare the effect of on – pump and off –pump cabg on the induction of the oxidative stress and the metabolism of homocysteine which is involved in the synthesis of glutathione was investigated in the cabg patients during the ...

BACKGROUND The survival difference between off-pump and on-pump coronary artery bypass graft surgery for follow-up longer than 5 years is not well-understood. The objective of this study is to examine the difference in 7-year mortality after these 2 procedures. METHODS AND RESULTS The state of New York's Cardiac Surgery Reporting System was used to identify the 2640 off-pump and 5940 on-pump ...

BACKGROUND Coronary revascularization on the beating heart is an attractive to option conventional coronary artery bypass graft (CABG) but remains controversial. Our study encourages sufficient proper time for decision-making when changing CABG from off-pump to on-pump CABG. We report herein patients who changed from off-pump CABG to on-pump CABG. METHODS A retrospective analysis of 240 patie...

OBJECTIVES Off-pump coronary artery bypass surgery is becoming increasingly popular although its effectiveness remains controversial. Our goal was to investigate the effectiveness of on-pump and off-pump coronary artery bypass surgery on early (30 days) and long-term (5 years) clinical outcome in two groups of patients selected using propensity scores. METHODS From November 1994 to December 2...

patients with coronary artery disease and left ventricular dysfunction have high mortality with non surgical (medical) treatment. coronary artery bypass grafting improves survival and the quality of life. recently, revascularization without cardiopulmonary bypass has been presented as a viable alternative. the aim of this study was to survey the result of coronary artery bypass grafting with of...