JAMA 21 Feb 2007
26 Feb, 07 | by BMJ Group
For several years, it’s been known that cardiopulmonary bypass machines can throw off micro-debris and this has been linked to the cognitive impairment seen in a substantial proportion of patients following cardiac surgery. The commonest form of cardiac surgery is of course coronary by-pass grafting, and in an attempt to minimise adverse effects many advanced centres have developed skill at “off-pump
