How to build a multi-arterial coronary artery bypass programme: a stepwise approach
Mario Gaudino, Sigrid Sandner, Giorgia Bonalumi, Jennifer S. Lawton, Stephen E. Fremes
Abstract
Observational evidence shows that the use of multiple arterial grafts (MAG) is associated with longer postoperative survival and improved clinical outcomes. The current European Society of Cardiology/European Association for Cardio-Thoracic Surgery Guidelines on myocardial revascularization recommend the use of MAG in appropriate patients. However, a significant volume-to-outcome relationship exists for MAG, and lack of sufficient experience is associated with increased operative risk. A stepwise approach to building experience with MAG allows successful implementation of this technique into routine coronary surgery practice.
Topics & Concepts
MedicineObservational studyMyocardial revascularizationRevascularizationArteryCardiologyInternal medicineCoronary artery bypass surgerySurgeryMyocardial infarctionCardiac and Coronary Surgery TechniquesCardiac, Anesthesia and Surgical OutcomesCardiac Valve Diseases and Treatments