The percutaneous coronary angioplasty gets better, but the surgical coronary artery bypass does not stay behind.
Ruggero De PaulisGiulio FolinoRaffaele ScaffaPublished in: European heart journal supplements : journal of the European Society of Cardiology (2022)
Coronary artery bypass grafting remains one of the most frequently performed cardiac operations, with well-established prognostic benefits in patients with multivessel coronary artery disease and left main disease. Despite an increasingly higher patients' risk profile, the results of this procedure have significantly improved over time, with an evident and striking decrease in operative mortality and peri-operative complications. A fair amount of technical and technological refinements has further improved the short- and long-term results of coronary artery bypass surgery. The improvements in the beating heart coronary surgery and aortic 'no-touch' technique, in the appropriate use of conduits (bilateral internal mammary artery, radial artery, and composite conduits configuration), and in the optimization of venous grafts' patency are reviewed.
Keyphrases
- coronary artery bypass
- percutaneous coronary intervention
- coronary artery disease
- coronary artery bypass grafting
- st segment elevation myocardial infarction
- cardiovascular events
- st elevation myocardial infarction
- end stage renal disease
- acute coronary syndrome
- chronic kidney disease
- left ventricular
- atrial fibrillation
- newly diagnosed
- ultrasound guided
- risk factors
- heart failure
- aortic valve
- aortic stenosis
- patient reported outcomes
- type diabetes
- cardiovascular disease
- transcatheter aortic valve replacement