Finally to add to the controversy of the impact of off-pump in neurocognitive function was a report of a long term follow up [ 41 ] on the subject; Patients undergoing off-pump coronary artery bypass showed better attention, performing better at tracking and mentally manipulating information, demonstrated better cognitive reasoning and also showed a trend toward better verbal learning.
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The impact of off-pump surgery in end-organ function: practical end-points.
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The authors show a significant reduction in operative mortality in the off-pump group, as well as a highly significant reduction in overall adverse cardiac events, permanent stroke, dialysis, re-operation, prolonged ventilation, sternal wound infection, renal failure, and prolonged length of stay. 2) Completeness of revascularization & Graft patency Completeness of revascularization with off pump techniques has been questioned and thus higher re-intervention rate has been reported in various studies.