off-pump

Minimally invasive coronary artery bypass surgeries also called off-pump coronary artery bypass surgery and minimally invasive direct coronary artery bypass surgery have been recently developed that forego a heartlung machine and speed recovery.

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A newer type of bypass, called off-pump surgery, keeps the heart beating while the graft is put in; depending on the location of the clogged artery, it may be possible to insert the instruments through incisions the size of large peas and avoid cracking the breastbone to get at the heart.

OUR BODIES, OURSELVES The Boston Women’s Health Book Collective 2005

On the contrary, coronary artery bypass (many of which are done "off-pump," incidentally) might be considered the most successful surgical procedure in history, in that it produces the desired results most of the time with few side-effects.

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Source: American Heart Association To reduce such damage, cardiac surgeons developed "off-pump" techniques to operate with the heart still beating; that now accounts for about 20% of all U.S. bypass operations.

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But studies have found that cognitive decline is just as common five years later in patients who had on-pump or off-pump bypasses.

'Bypass Brain': How Surgery 2008

"The camps have formed," says Craig Smith of New York-Presbyterian, who operated on President Bill Clinton's heart and does about 85 percent of his cases off-pump.

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Proponents say this is partly due to the lack of a big, randomized trial confirming the benefits of off-pump CABG.

And the Beat Goes On 2007

Not everyone is as enamored with the off-pump procedure as Puskas, who uses it in 95 percent of his cases and has performed the operation approximately 2,000 times since 1996.

And the Beat Goes On 2007

Fred Edwards, a surgeon at the University of Florida, who uses the pump in 90 percent of his cases, agrees that a big study will help determine the fate of off-pump.

And the Beat Goes On 2007

Recovery is faster with off-pump surgery, and the outcomes are about the same for both procedures.29

OUR BODIES, OURSELVES The Boston Women’s Health Book Collective 2005