Multiple arterial grafting for coronary revascularization: “A guide for the perplexed”

The surgical literature abounds with articles extolling the benefits of arterial grafting for patients with advanced coronary artery disease in need of surgical revascularization. However, examination of clinical performance demonstrates that extensive use of arterial grafting is highly selective an...

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Bibliographic Details
Published in:Trends in cardiovascular medicine 2016-10, Vol.26 (7), p.616-623
Main Author: Kurlansky, Paul, MD
Format: Article
Language:English
Subjects:
Arterial grafting
Cardiovascular
Coronary Artery Bypass - adverse effects
Coronary Artery Bypass - methods
Coronary Artery Bypass - mortality
Coronary artery bypass surgery
Coronary artery disease
Coronary Artery Disease - diagnosis
Coronary Artery Disease - mortality
Coronary Artery Disease - surgery
Gastroepiploic artery graft
Humans
Internal thoracic artery graft
Outcomes
Radial artery graft
Survival
Treatment Outcome
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Description
Summary:The surgical literature abounds with articles extolling the benefits of arterial grafting for patients with advanced coronary artery disease in need of surgical revascularization. However, examination of clinical performance demonstrates that extensive use of arterial grafting is highly selective and generally uncommon. Rather than merely repeat multiple excellent recent literature reviews, the goal herein is to provide the reader with a guide to evaluation of the current literature as well as to suggest fruitful areas for further research. More circumspect understanding of the strengths and weakness of our current knowledge base will not only help to explain the current apparent disparity between theory and practice, but will hopefully inform future decision making and patient care.
ISSN:1050-1738
1873-2615
DOI:10.1016/j.tcm.2016.04.002