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This technique particularly benefits elderly and high-risk patients, and was shown in this new study to reduce the risk of stroke, death, and kidney injury following the operation. The no-touch beating heart technique performed "without aortic manipulation, whilst performed only by a minority of surgeons, has an important place in the higher risk patient undergoing CABG," commented Prof. Michael P. Vallely, corresponding author of the study and cardiothoracicsurgeon at Sydney Heart and Lung Surgeons , "this powerful analysis demonstrates the potential benefit, not only in the reduction of stroke, but also in mortality... [and] provides the most comprehensive and highest-quality evidence currently available [to]help inform decisions regarding the management of these patients." "Interestingly, the risk of stroke seemed to be directly related to the extent of aortic manipulation," saidJohn G. Byrne, MD, ofHospital Corporation of AmericaandMarzia Leacche, MD, ofSpectrum Health in an editorial for the Journal of the American College of Cardiology, "a no-touch technique is probably a superior approach compared to conventional on-pump CABG with aortic clamping... in patients with increased cerebrovascular disease or atherosclerotic disease in the aorta." Aboutthe Study For the first time, an advanced Bayesian network model has been utilized to directly compare the clinical outcomes of all the major coronary artery bypass grafting techniques, including a totally anaortic or "no touch" off-pump technique, off-pump with a partial-clamp, off-pump with the clampless Heartstring device (St. Jude Medical, Saint Paul, Minnesota), and traditional on-pump with cross-clamp technique. This study will bepublished in the February 28, 2017 issue of the Journal of the American College of Cardiology . Co-Author Institutions Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia Baird Institute of Applied Heart and Lung Surgical Research, Sydney, New South Wales, Australia Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia Institute of Academic Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia Sydney Heart and Lung Surgeons, Sydney, New South Wales, Australia Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia Department of Surgery, McMaster University, Hamilton, Ontario, Canada Department of Cardiovascular Surgery, John Radcliffe Hospital, University of Oxford, Oxford, United Kingdom Department of Cardiac Surgery, Mt.