Heart Failure Information Center
Patients with coronary artery disease who were previously not considered candidates for CABG may benefit from the surgery.
Cardiovascular Disease Information Center, News
Findings reinforce need for team approach to treatment decisions for heart conditions.
What determines whether a patient will have “on-pump” or “off-pump” coronary artery bypass surgery (CABG)?—Elissa Internicola Lebow, PA-C, Staten Island, N.Y. Patients may achieve an excellent outcome with either procedure. Outcomes are likely to depend more on factors other than whether patients underwent standard CABG utilizing the cardiopulmonary bypass machine (on-pump) or if they had…
Level 2: Mid-level evidenceThe relative benefits of coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI) continue to be actively debated and analyzed. A recent meta-analysis of individual data from 7,812 patients in 10 randomized trials suggests that CABG may be associated with lower mortality in certain populations (Lancet. 2009;373:1190-1197). There was no difference…
Endocrinology Information Center
Coronary artery bypass surgery may lead to metabolic changes, causing new-onset diabetes.
Grafting the more effective revascularization strategy in older adults with multivessel disease.
Cardiovascular Disease Information Center
The use of percutaneous coronary intervention and coronary artery bypass grafting for the treatment of left main coronary artery disease of low or intermediate anatomic complexity was found to be associated with comparable rates of a composite of death, stroke, and myocardial infarction at 5 years.
Level 1: Likely reliable evidenceIn patients with three-vessel and/or left main coronary artery disease (CAD), percutaneous coronary intervention (PCI) with paclitaxel-eluting stents is equivalent to coronary artery bypass grafting (CABG) for overall mortality and MI rate at 12 months. PCI patients had increased risk for repeat revascularization procedures but a reduced risk of subsequent stroke…
Comparing CABG vs. PCI, PCI was associated with lower rate of stroke within 30 days of the procedure...
Smoking associated with worse saphenous vein graft patency at one and two years after CABG.