Strategic forces influencing the adoption of off-pump coronary artery bypass grafting

Michael Simmons*, Dinesh Kurian, Robert S. Poston

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter


Despite increasing competition from percutaneous interventions and other novel methods of non-surgical coronary revascularization, coronary artery bypass grafting (CABG) remains one of the most definitive and durable treatments for coronary artery disease, especially for patients with extensive and diffuse disease. In recent years the CABG procedure itself has undergone innovation and evolution. Off-pump coronary artery bypass (OPCAB) grafting is one such innovation. The available evidence from a large number of randomized clinical trials, nonrandomized clinical trials, propensity-matched analyses, and experimental data suggests that outcomes are comparable between off-pump and on-pump CABG and that OPCAB may have disctinct advantages for specific patient populations, but skepticism still exists about the safety and efficacy of the off-pump technique, preventing universal adoption of OPCAB grafting. This chapter examines the strategic forces influencing the adoption of off-pump, limited-access, and robotic-assisted CABG.

Original languageEnglish (US)
Title of host publicationOff-Pump Coronary Artery Bypass Grafting
Subtitle of host publicationOutcomes, Concerns and Controversies
PublisherNova Science Publishers, Inc.
Number of pages14
ISBN (Print)9781620815755
StatePublished - Dec 2012

ASJC Scopus subject areas

  • General Medicine


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