Seminars in Thoracic and Cardiovascular Surgery
Volume 21, Issue 3 , Pages 224-228 , Autumn 2009

Teaching Off-Pump Coronary Artery Bypass Surgery

  • Michael E. Halkos, MD
    • ,
  • John D. Puskas, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to John D. Puskas, MD, Emory University School of Medicine, 550 Peachtree Street, Crawford and Long Hospital, 6th Floor, Medical Office Tower, Atlanta, GA 30308

References 

  1. Gerola LR, Buffolo E, Jasbik W, et al. Off-pump versus on-pump myocardial revascularization in low-risk patients with one or two vessel disease: Perioperative results in a multicenter randomized controlled trial. Ann Thorac Surg. 2004;77:569–573
  2. Puskas JD, Williams WH, Duke PG, et al. Off-pump coronary artery bypass grafting provides complete revascularization with reduced myocardial injury, transfusion requirements, and of length of stay: A prospective randomized comparison of two hundred unselected patients undergoing off-pump versus conventional coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2003;125:797–808
  3. Angelini GD, Taylor FC, Reeves BC, et al. Early and midterm outcome after off-pump and on-pump surgery in beating heart against cardioplegic arrest studies (BHACAS 1 and 2): A pooled analysis of two randomised controlled trials. Lancet. 2002;359:1194–1199
  4. Kobayashi J, Tashiro T, Ochi M, et al. Early outcome of a randomized comparison of off-pump and on-pump multiple arterial coronary revascularization. Circulation. 2005;112(suppl 1):I338–I343
  5. Muneretto C, Bisleri G, Negri A, et al. Off-pump coronary artery bypass surgery technique for total arterial myocardial revascularization: A prospective randomized study. Ann Thorac Surg. 2003;76:778–782
  6. van Dijk D, Nierich AP, Jansen EWL, et al. Early outcome after off-pump versus on-pump coronary bypass surgery—Results from a randomized study. Circulation. 2001;104:1761
  7. Widimsky P, Straka Z, Stros P, et al. One-year coronary bypass graft patency: A randomized comparison between off-pump and on-pump surgery angiographic results of the Prague-4 trial. Circulation. 2004;110:3418–3423
  8. Hannan EL, Wu C, Smith CR, et al. Off-pump versus on-pump coronary artery bypass graft surgery: Differences in short-term outcomes and in long-term mortality and need for subsequent revascularization. Circulation. 2007;116:1145–1152
  9. Li Z, Yeo KK, Parker JP, et al. Off-pump coronary artery bypass graft surgery in California, 2003-05. Am Heart J. 2008;156:1095–1102
  10. Puskas JD, Edwards FH, Pappas PA, et al. Off-pump techniques benefit men and women and narrow the disparity in mortality after coronary bypass grafting. Ann Thorac Surg. 2007;84:1447–1454
  11. Guo LR, Chu MW, Tong MZ, et al. Does the trainee's level of experience impact on patient safety and clinical outcomes in coronary artery bypass surgery?. J Cardiovasc Surg. 2008;23:1–5
  12. Bakaeen FG, Dhaliwal AS, Chu D, et al. Does the level of experience of residents affect outcomes of coronary artery bypass surgery?. Ann Thorac Surg. 2009;87:1127–1134
  13. Caputo M, Reeves BC, Rogers CA, et al. Monitoring the performance of during training in off-pump coronary surgery. J Thorac Cardiovasc Surg. 2004;128:907–915
  14. Asimakopoulous G, Karagounis AP, Valencia O, et al. How safe is it to train residents to perform off-pump coronary artery bypass surgery?. Ann Thorac Surg. 2006;81:568–572
  15. Caputo M, Chamberlain MH, Ozalp F, et al. Off-pump coronary operations can be safely taught to cardiothoracic trainees. Ann Thorac Surg. 2001;71:1215–1219
  16. Ascione R, Reeves BC, Pano M, et al. Trainees operating on high-risk patients without cardiopulmonary artery bypass: A high-risk strategy?. Ann Thorac Surg. 2004;78:26–33
  17. Reznick RK, MacRae H. Teaching surgical skills-changes in the wind. N Engl J Med. 2006;355:2664–2669
  18. Fann JI, Caffarelli AD, Georgette G, et al. Improvement in coronary anastomosis with cardiac surgery simulation. J Thorac Cardiovasc Surg. 2008;136:1486–1491
  19. Donovan JJ, Radosevich DJ. A meta-analytic review of the distribution of practice effect: Now you see it, now you don't. J Appl Psychol. 1999;84:795–805
  20. Feins RH. Expert commentary: Cardiothoracic surgical simulation. J Thorac Cardiovasc Surg. 2008;135:485–486

PII: S1043-0679(09)00090-2

doi: 10.1053/j.semtcvs.2009.08.005

Seminars in Thoracic and Cardiovascular Surgery
Volume 21, Issue 3 , Pages 224-228 , Autumn 2009

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