CORONARY ARTERY BYPASS GRAFT VS. STENT PLACEMENT

What is the current thinking with regard to coronary artery bypass grafting vs. stent placement in patients younger than 40 years?
—Marilyn Otero, RPA-C, New York City

Each patient is assessed individually. Most prefer not to have surgery if it can be avoided—at any age. If a patient’s coronary anatomy (diffuse disease, size, and irregularity) prevents stent implantation, surgery becomes the definitive treatment. Left-main coronary artery disease is always treated with surgery.
—Debra Kleinschmidt, PhD, PA, RN (106-10)

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