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Despite the progressive expansion of clinical indications for percutaneous coronary intervention and the increasingly high risk profile of referred patients, coronary artery bypass grafting (CABG) remains the mainstay in multivessel disease, providing good long-term outcomes with low complication rates. Multiple arterial grafting, especially if associated with anaortic techniques, might provide the best longer-term outcomes. A surgical approach individualized to the patients' clinical and anatomic characteristics, and surgeon and team experience, are key to excellent outcomes. Current evidence regarding patient selection, indications, graft selection, and potential strategies to optimize outcomes in patients treated with CABG is summarized.

Original publication

DOI

10.1016/j.iccl.2018.11.007

Type

Journal article

Journal

Interv Cardiol Clin

Publication Date

04/2019

Volume

8

Pages

173 - 198

Keywords

Coronary artery bypass grafting, Hybrid revascularization, Internal thoracic artery, Percutaneous coronary intervention, Radial artery, Blood Vessel Prosthesis Implantation, Coronary Artery Bypass, Coronary Artery Disease, Humans, Mammary Arteries, Patient Selection, Prosthesis Design, Radial Artery, Stents, Treatment Outcome