Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor
In Reply: We agree that an experienced surgeon can achieve complete revascularization of a beating heart, without cardiopulmonary bypass, in the majority of patients with 3-vessel coronary artery disease. That fewer distal anastomoses are performed on beating than on arrested hearts (a fact confirmed by all series comparing on- and off-pump surgery) and that more revascularization procedures are necessary afterwards,1 however, raise doubts that a complete revascularization can routinely be attained.
Prêtre R, Turina MI. Revascularization Methods for Coronary Artery Disease—Reply. JAMA. 2001;285(20):2580-2581. doi:10.1001/jama.285.20.2580