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Concepts of CABG, that an Interventional Cardiologist Must Know

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Dr OP Yadava, New Delhi    05 March 2019

  • Stable and low-risk CAD is over treated while complex and high-risk CAD is under treated, indeed a dichotomy.
  • Early post-CABG ischemia may occur in 2-4% of patients with sinister outcomes and meriting aggressive interventional treatment.
  • Multiple arterial grafts are superior to single IMA plus saphenous vein. However, barely 5-10% patients get more than one arterial graft.
  • Minimally invasive CABG is safe and feasible, but hard outcomes in terms of mortality benefit have not been proven.
  • Off Pump vs. Pump CABG debate continues with Asian countries favoring Off Pump CABG. It is probably the surgeon, and not the technique, which is in contention.

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