Safe evolution towards routine off-pump coronary artery bypass: negotiating the learning curve | Zendy

Howard K. Song | Zendy

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Safe evolution towards routine off-pump coronary artery bypass: negotiating the learning curve

Author(s) -

Howard K. Song

Publication year - 2003

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/s1010-7940(03)00616-x

Subject(s) - medicine , cardiopulmonary bypass , cardiology , off pump coronary artery bypass , coronary artery disease , ejection fraction , artery , cardiac surgery , bypass grafting , surgery , heart failure

Off-pump coronary artery bypass (OPCAB) hopes to avoid morbidity associated with cardiopulmonary bypass, improving clinical outcomes. Yet its technical difficulty and unfamiliarity raise concern that adoption of OPCAB might be associated with poorer outcomes during each surgeon's 'learning curve'. We examined trends in patient selection over time as a single surgeon's practice evolved to routine OPCAB.

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