Cardiac surgery has always been a unique combination of artand science. The field is advanced by those who push the envelopeby suggesting innovations. Yet promising techniques need tobe rigorously evaluated before they are widely adopted. Coronary-arterybypass grafting (CABG) was pioneered in the 1960s and subsequentlyshown in a series of randomized studies to extend life and relieveangina in subgroups of patients with severe coronary disease.1As a result of these studies, CABG has grown to become the mostcommon surgical procedure in the world.2 During the subsequentyears, however, CABG techniques have continued to be . . . [Full Text of this Article]
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From the Duke Clinical Research Institute, Duke University Medical Center, Durham, NC.
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