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Editorial
. 2017 Dec;9(12):4893-4895.
doi: 10.21037/jtd.2017.11.78.

The lion and the unicorn were fighting for the crown: on-pump versus off-pump coronary-artery bypass grafting

Hisato Takagi  1 , Shohei Mitta  1 , Tomo Ando  2 ; All-Literature Investigation of Cardiovascular Evidence (ALICE) Group
Affiliations
Editorial

The lion and the unicorn were fighting for the crown: on-pump versus off-pump coronary-artery bypass grafting

Hisato Takagi et al. J Thorac Dis. 2017 Dec.
No abstract available

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
“The Lion and the Unicorn”, an illustration (public domain) by Tenniel J from “Carroll L. Through the looking-glass, and what Alice found there. London: Macmillan, 1872.”
Figure 2
Figure 2
Forest plot of hazard ratios for very long-term (≥10-year) mortality. Reprinted from (5) with permission by Elsevier (License Number: 4198690440936). BIMA, bilateral internal mammary artery; CABG, coronary artery bypass grafting; CI, confidence interval; IV, inverse variance; SVG, saphenous vein graft; SIMA, single internal mammary artery.
See this image and copyright information in PMC

Comment on

  • Five-Year Outcomes after On-Pump and Off-Pump Coronary-Artery Bypass.
    Shroyer AL, Hattler B, Wagner TH, Collins JF, Baltz JH, Quin JA, Almassi GH, Kozora E, Bakaeen F, Cleveland JC Jr, Bishawi M, Grover FL; Veterans Affairs ROOBY-FS Group. Shroyer AL, et al. N Engl J Med. 2017 Aug 17;377(7):623-632. doi: 10.1056/NEJMoa1614341. N Engl J Med. 2017. PMID: 28813218 Clinical Trial.

References

    1. Shroyer AL, Hattler B, Wagner TH, et al. Five-year outcomes after on-pump and off-pump coronary-artery bypass. N Engl J Med 2017;377:623-32. 10.1056/NEJMoa1614341 - DOI - PubMed
    1. Møller CH, Perko MJ, Lund JT, et al. Three-year follow-up in a subset of high-risk patients randomly assigned to off-pump versus on-pump coronary artery bypass surgery: the Best Bypass Surgery trial. Heart 2011;97:907-13. 10.1136/hrt.2010.211680 - DOI - PubMed
    1. Takagi H, Yamamoto H, Iwata K, et al. Ask not which can impair early morbidity--ask which can improve late survival: a meta-analysis of randomized trials of off-pump versus on-pump coronary artery bypass. Int J Cardiol 2012;158:435-8. 10.1016/j.ijcard.2012.04.031 - DOI - PubMed
    1. Takagi H, Umemoto T, All-Literature Investigation of Cardiovascular Evidence (ALICE) Group Worse long-term survival after off-pump than on-pump coronary artery bypass grafting. J Thorac Cardiovasc Surg 2014;148:1820-9. 10.1016/j.jtcvs.2014.05.034 - DOI - PubMed
    1. Takagi H, Ando T, Mitta S, et al. Meta-analysis comparing ≥10-year mortality of off-pump versus on-pump coronary artery bypass grafting. Am J Cardiol 2017;120:1933-8. 10.1016/j.amjcard.2017.08.007 - DOI - PubMed

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