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Study shows on-pump bypass comparable to off-pump at year mark
Date:3/11/2013

ients were older and sicker, and our surgeons were more experienced, particularly in performing off-pump bypass," he said.

Off-pump bypass requires a higher degree of surgical expertise since the operation occurs while the patient's heart is still beating. Thus, surgical expertise is a key factor affecting patient outcomes, and it is possible that other studies have not controlled for this, Dr. Lamy said.

All surgeons participating in the CORONARY study were required to have performed a minimum of 100 cases in the approach used, though the vast majority of surgeons in their study were highly experienced in both types of procedure, Dr. Lamy said.

"The CORONARY study shows that off-pump bypass is just as good as on-pump. Therefore, surgeons should tailor their surgical approach to their technical expertise and expected technical difficulty," Dr. Lamy said.

The CORONARY study will follow patients for five years. Researchers hope this continued evaluation will provide needed evidence about the success of on- and off-pump bypass beyond the first year.


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Contact: Beth Casteel
bcasteel@acc.org
240-328-4549
American College of Cardiology
Source:Eurekalert

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