Controversy. On pump or off pump: what will I do when I grow up? A narrative systematic review

Author:

Calafiore Antonio Maria1ORCID,Torregrossa Gianluca2ORCID,Salerno Tomas A3,Prapas Sotirios1ORCID,Benetti Federico4,Angelini Gianni D5ORCID,Lima Ricardo De Carvalho6,Di Mauro Michele78ORCID,Taggart David9,Gaudino Mario10,Puskas John D11

Affiliation:

1. 1st Department of Cardiac Surgery, Henry Dunant Hospital , Athens, Greece

2. Department of Cardiac Surgery, Lankenau Heart Institute, Lankenau Medical Center, Main Line Health , Wynnewood, PA, USA

3. Department of Surgery, Leonard M. Miller School of Medicine, University of Miami , Miami, FL, USA

4. Benetti Foundation , Rosario, Argentina

5. Department of Cardiac Surgery, Bristol Heart Institute, University of Bristol , Bristol, UK

6. Department of Cardiovascular Surgery, Faculty of Medical Science, University of Pernambuco , Recife, Brazil

7. Department of Cardiothoracic Surgery, Cardio-Thoracic Surgery Unit, Heart and Vascular Centre, Maastricht University Medical Centre (MUMC), Cardiovascular Research Institute Maastricht (CARIM) , Maastricht, The Netherlands

8. Department of Cardiology, Pierangeli Hospital , Pescara, Italy

9. Nuffield Department of Surgical Sciences, University of Oxford, John Radcliffe Hospital , Oxford, UK

10. Department of Cardiothoracic Surgery, Weill Cornell Medicine , New York, NY, USA

11. Department of Cardiovascular Surgery, Mount Sinai Hospital and Icahn School of Medicine at Mount Sinai , New York, NY, USA

Abstract

Summary The transition from the second to the third millennium happened to be a turning point in the history of myocardial revascularization on a beating heart, which moved from technical development to critical evaluation. This article describes how the initial acceptance and spread of off-pump coronary artery bypass grafting (OPCABG) was followed by the general perception that the technique could not fulfill the expectations placed in it and provides some insight on what should we do with the know-how of OPCABG in the present and the future of coronary surgical revascularization.

Publisher

Oxford University Press (OUP)

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