Article

Outcome of Coronary Artery Bypass Grafting - Strategies for Improvement

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Abstract

During recent years, new conceptual, technical and drug strategies have led to improved early and late outcomes after coronary artery bypass surgery. These new strategies can be divided into the following three groups: optimisation of pre-operative patient selection and indications for and timing of the operation; peri-procedural refinements, including new techniques and instruments to avoid extracorporeal circulation, reduce aortic manipulation and minimise surgical access; and improvements to post-operative care, such as fast-track protocols and long-term drug therapy. In summary, the wide range of the surgical armamentarium available today allows cardiovascular surgeons to adapt the surgical strategy to individual patients and the given clinical scenario. This article aims to describe clinical rationales for the adoption of new concepts, provide an introduction to technical details and discuss clinical study results where appropriate.

Keywords

Off-pump coronary artery bypass (OPCAB), endoscopic graft harvesting, minimally invasive surgery, minimally invasive direct coronary artery bypass (MIDCAB), hybrid coronary revascularisation,

Disclosure:The authors have no conflicts of interest to declare.

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Accepted:

DOI:https://doi.org/10.15420/ecr.2011.7.1.55

Correspondence Details:Ardawan J Rastan, Department of Cardiac Surgery, University of Leipzig, Struempellstr. 39, 04289 Leipzig, Germany. E: rastan@rz.uni-leipzig.de

Copyright Statement:

The copyright in this work belongs to Radcliffe Medical Media. Only articles clearly marked with the CC BY-NC logo are published with the Creative Commons by Attribution Licence. The CC BY-NC option was not available for Radcliffe journals before 1 January 2019. Articles marked ‘Open Access’ but not marked ‘CC BY-NC’ are made freely accessible at the time of publication but are subject to standard copyright law regarding reproduction and distribution. Permission is required for reuse of this content.

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