Letter by Edelman et al Regarding Article, “Should Off-Pump Coronary Artery Bypass Grafting Be Abandoned?”
To the Editor:
We read with interest the article by Dr Lazar1 and agree with his conclusion that off-pump coronary artery bypass (OPCAB) surgeons unable to demonstrate outcomes comparable with those with coronary artery bypass grafting (CABG) should abandon the technique. We believe, however, that the benefits of OPCAB performed by surgeons expert in the technique are underestimated in this review.
The significant benefits of surgical revascularization over percutaneous coronary intervention for the treatment of multivessel disease have been overshadowed by the increased risk of stroke. We believe OPCAB has the potential to reduce the rate of stroke to a rate comparable with that of …