Coronary Artery Bypass Grafting (CABG)
- Autologus veins or arteries are anastomosed
- Saphanous vein or internal memory artery are used
- Operative mortality < 1%
Relief of Coronary Obstruction By Surgical Techniques
CABG versus medical therapy
CABG is recommended for patients with triple-vessel CAD and impaired left ventricular function (LVEF 35–49%). Left stem disease with a stenosis of ≥50% is a class I indication for revascularization.
PCI versus CABG
Comparative trials between CABG and PCI all demonstrate a higher need for repeat revascularization with PCI than with CABG.
European Society of Cardiology (ESC) has recommended PCI only in cases of single- or double-vessel disease that does not involve the proximal left anterior descending artery.