TY - JOUR
T1 - Operative mortality with coronary artery bypass graft
T2 - Where do we stand in 2015?
AU - Kimmaliardjuk, Donna May
AU - Toeg, Hadi
AU - Glineur, David
AU - Sohmer, Benjamin
AU - Ruel, Marc
N1 - Publisher Copyright:
© 2015 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2015/10/9
Y1 - 2015/10/9
N2 - Purpose of review Coronary artery bypass graft (CABG) surgery has evolved and become much safer since its inception. This article outlines recent strategies in optimizing CABG mortality. Recent findings Improving operative mortality around CABG relates to five components. These include the role of relevant quality indicators; improved CABG techniques, such as multiple arterial grafting with less manipulation of the aorta; improvements in cardiopulmonary bypass; refinements in cardiac anaesthesia along with postoperative care; and the development of centres of excellence. Summary The development of advanced surgical revascularization techniques raises the question as to whether CABG expertise should be considered a sub-specialty of cardiac surgery. An expert CABG surgeon should be able to appropriately utilize several different revascularization techniques to adjust the operation to the patient, rather than the contrary.
AB - Purpose of review Coronary artery bypass graft (CABG) surgery has evolved and become much safer since its inception. This article outlines recent strategies in optimizing CABG mortality. Recent findings Improving operative mortality around CABG relates to five components. These include the role of relevant quality indicators; improved CABG techniques, such as multiple arterial grafting with less manipulation of the aorta; improvements in cardiopulmonary bypass; refinements in cardiac anaesthesia along with postoperative care; and the development of centres of excellence. Summary The development of advanced surgical revascularization techniques raises the question as to whether CABG expertise should be considered a sub-specialty of cardiac surgery. An expert CABG surgeon should be able to appropriately utilize several different revascularization techniques to adjust the operation to the patient, rather than the contrary.
KW - Beating heart and less invasive cardiac surgery
KW - Cardiac anaesthesia
KW - Centres of excellence
KW - Coronary artery bypass grafting
KW - Quality indicators
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U2 - 10.1097/HCO.0000000000000220
DO - 10.1097/HCO.0000000000000220
M3 - Review article
C2 - 26352247
AN - SCOPUS:84944050765
SN - 0268-4705
VL - 30
SP - 611
EP - 618
JO - Current opinion in cardiology
JF - Current opinion in cardiology
IS - 6
ER -