21. PCI versus Off-Pump CABG

Eefting et. al. Circulation. 2003 Dec 9;108(23):2870-6. Epub 2003 Dec 01

What about off-pump CABG? Off-pump CABG is new, and improved, it must offer a survival advantage that would make risk stratification worthwhile. In a study of patients referred for angioplasty (n=280) who were randomly assigned to stenting (n=138) or off-pump bypass surgery. There was no advantage of off-pump CABG compared to PCI. Stenting was more cost-effective than off-pump surgery while maintaining comparable cardiac outcome and quality of life. But there was no advantage to off-pump compared to PCI. Eefting et. al. Circulation. 2003 Dec 9;108(23):2870-6. Epub 2003 Dec 01