Who is a good candidate for off-pump CABG, and who should avoid it?

Ideal candidates are patients with multi-vessel coronary artery disease, particularly those with significant comorbidities like advanced age, diabetes, chronic kidney disease, or peripheral vascular disease, as off-pump surgery reduces the risk of complications. Contraindications include patients with severely calcified or diffusely diseased coronary arteries, an intramyocardial vessel location, or hemodynamic instability that makes a beating-heart approach unsafe. Your cardiologist will assess your specific anatomy and overall health to determine suitability.