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The co-authors of this study included world-renowned cardiothoracicsurgeons fromAustralia, the United States, Canada, and the United Kingdom. Coronary artery bypass grafting (CABG) is a surgical procedure for ischemic heart disease, which is the most common cause of death in Western countries. In this disease, the gradual build-up of fat and calcium within the arteries of the heart causes narrowing, which reducesblood flow to the heart's muscle. When the narrowing becomes very severe or completely blocked it causes a heart attack. CABG involves bypassing these blockages using a graft. The graft goes around the blocked artery to create new pathway for oxygen-rich blood to flow to the heart again. The aim of this is to relieve symptoms (including angina), help the patient resume a normal lifestyle, and to prevent the risk of heart attacks or other heart problems. However, traditional CABG involves stopping the heart during surgery and placing aclamp on the large vessel of the heart (aorta). Sewing the grafts to the heart is traditionally performed on a still, non-beating heart whilethe patient is on a heart-lung machine ("on-pump surgery"). In contrast, the newer no-touch, off-pump technique is performed on a beating heart without the heart-lung machine, using a small stabilizer.