Ten-Year Outcomes of Off-Pump vs On-Pump Coronary Artery Bypass Grafting in the Department of Veterans Affairs

Thursday, April 14, 2022

Submitted by

Mark Ferguson

Source

Source Name: JAMA Surgery

Source URL: https://jamanetwork.com/journals/jamasurgery/fullarticle/2789138?guestAccessKey=…

Author(s)

Quin JA, Wagner TH, Hattler B, Carr BM, Collins J, Almassi GH, Grover FL, and Shroyer AL.

This 10-year follow-up of the ROBY study reports on the primary end points of all-cause death and the composite of death or revascularization among 2203 patients randomized to off-pump or on-pump CABG 2002-2007. Death rates at 10 years were 34.2% for off-pump and 31.1% for on-pump. The composite end point was reached at 4.6 years for off-pump and 5.0 years for on-pump. The study identified no advantages for off-pump bypass related to these 10-year outcomes.

Comments

Submitted by Aristotle Protopapas on Wed, 2022-04-20 05:24

This paper will be hotly debated in years to come. The logical assumption is that ALL the surgeons involved were EQUALLY PROFICIENT to BOTH interventions....