CORONARY ARTERY BYPASS GRAFT VS. STENT PLACEMENT

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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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