Off-pump coronary artery bypass surgery The beginning of the end?

Abstract
In the past decade, the idea of lessening the invasive aspect of coronary surgery led to the development of new techniques based on two approaches, the reduction of the incision (mini-invasive direct coronary artery bypass, MIDCAB) or the abandon of the cardiopulmonary bypass (off-pump coronary artery bypass, OPCAB). Nevertheless, these techniques remain subject to controversies and the decline of MIDCAB seems evident. Based on a review, the analysis of the OPCAB technique and results seem to be of interest, and the conclusions are not very optimistic.

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