This article concludes that five-year survival and morbidity rates in patients over 75 years of age did not differ between off-pump and on-pump groups. The main determinant of poorer long term outcome was incomplete revascularization.
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Five-Year Outcome After Off-Pump or On-Pump Coronary Artery Bypass Grafting in Elderly Patients
Submitted by: Edward Savage
Source: Circulation
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Author(s): Anno Diegeler, Jochen Börgermann, Utz Kappert, Michael Hilker, Torsten Doenst, Andreas Böning, Marc Albert, Gloria Färber, David Holzhey, Lenard Conradi, Friedrich-Christian Rieß, Philippe Veeckman, Csaba Minorics, Michael Zacher, Wilko Reents
2 Comments
not surprising, the Achilles heel of off pump surgery has always been incomplete revascularization?
It can be interpreted that either you perform an off- or on-pump CABG on the elderly, there was no superiority benefit for the on-pump CABG over the off-pump anyway.