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Elective coronary revascularization. What is evidence-based?

Zeitschrift fur Herz-, Thorax- und Gefasschirurgie, ISSN: 0930-9225, Vol: 22, Issue: 2, Page: 70-76
2008
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Article Description

Coronary artery bypass grafting still represents the main procedure in cardiac surgery. Although the surgical principle remains identical, the surgical goal can be achieved by numerous grafts and techniques. The main topics of this survey are the use of extracorporeal circulation, choice and harvesting of the grafts and special surgical techniques. Specifically, each surgical step is considered part of a scientific investigation. The current references cannot be considered complete, but serve as a rough survey of the literature. The current standard procedure for coronary multivessel disease consists of at least one internal mammary artery combined with venous or other arterial grafts. The increasing number of patients with significant comorbidity and/or diffuse type of coronary artery disease requires special consideration and techniques. Even the further increasing risk profile of the patients demands optimal intraoperative management. In addition, postoperative management is decisive for the surgical success. © 2008 Steinkopff-Verlag.

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