Cor Vasa 2006, 48(11):392-398 | DOI: 10.33678/cor.2006.126
Indications for coronary artery bypass grafting
- Kardiocentrum, Fakultní nemocnice Královské Vinohrady a 3. lékařská fakulta Univerzity Karlovy, Praha, Česká republika
This review article summarizes in detail the indications for coronary artery bypass grafting (CABG) based on clinical criteria, coronary angiography finding, left ventricular function, and operative risk estimate using various techniques. Utmost emphasis is placed on operative risk estimate using what is referred to as the EuroSCORE. The long-term outcomes of CABG are also addressed. The authors clearly identify conditions under which it is preferable to perform surgery or to institute conservative therapy. A short comparison of CABG and percutaneous coronary intervention (PCI) is included. The need is underlined for the physician making the indication to tell the patient in clear terms whether the latter is referred for surgery as a life-saving or life-extending procedure or to eliminate the patient s current complaints, or both.
Keywords: Coronary artery bypass grafting; Operative risk; EuroSCORE; Coronary intervention; Coronary angiography; Left ventricular function; Coronary heart disease
Published: November 1, 2006 Show citation
References
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