Coronary Artery Bypass Surgery: Evidence-Based Practice.

Autor:	Thuan PQ; From the Department of Adult Cardiovascular Surgery, University Medical Center, Ho Chi Minh City, Vietnam., Chuong PTV; From the Department of Adult Cardiovascular Surgery, University Medical Center, Ho Chi Minh City, Vietnam., Nam NH; Department of Cardiovascular and Thoracic Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam., Dinh NH; From the Department of Adult Cardiovascular Surgery, University Medical Center, Ho Chi Minh City, Vietnam.; Department of Cardiovascular and Thoracic Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.
Jazyk:	angličtina
Zdroj:	Cardiology in review [Cardiol Rev] 2023 Dec 19. Date of Electronic Publication: 2023 Dec 19.
DOI:	10.1097/CRD.0000000000000621
Abstrakt:	Coronary artery bypass graft (CABG) surgery remains a pivotal cornerstone, offering established symptomatic alleviation and prognostic advantages for patients grappling with complex multivessel and left main coronary artery diseases. Despite the lucid guidance laid out by contemporary guidelines regarding the choice between CABG and percutaneous coronary intervention (PCI), a notable hesitation persists among certain patients, characterized by psychological reservations, knowledge gaps, or individual beliefs that sway their inclination toward surgical intervention. This comprehensive review critically synthesizes the prevailing guidelines, modern practices, and outcomes pertaining to CABG surgery, delving into an array of techniques and advancements poised to enhance both short-term and enduring surgical outcomes. The exploration encompasses advances in on-pump and off-pump procedures, conduit selection strategies encompassing the bilateral utilization of internal mammary artery and radial artery conduits, meticulous graft evaluation methodologies, and the panorama of minimally invasive approaches, including those assisted by robotic technology. Furthermore, the review navigates the terrain of hybrid coronary revascularization, shedding light on the pivotal roles of shared decision-making and the heart team in shaping treatment pathways. As a comprehensive compendium, this review not only navigates the intricate landscape of CABG surgery but also aligns it with contemporary practices, envisioning its trajectory within the evolving currents of healthcare dynamics. Competing Interests: Disclosure: The authors declare no conflict of interest. (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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