Total Arterial Revascularization: Bypassing Antiquated Notions to Better Alternatives for Coronary Artery Disease

Total arterial revascularization is the leading trend in coronary artery bypass grafting (CABG) for the treatment of coronary artery disease (CAD). Adding to its superiority to vein conduits, arteries allow for a high degree of versatility and long-term patency, while minimizing the need for reinter...

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Bibliographic Details
Published in:Medical science monitor. Basic research 2016-10, Vol.22, p.107-114
Main Authors: Samak, Mostafa, Fatullayev, Javid, Sabashnikov, Anton, Zeriouh, Mohamed, Schmack, Bastian, Ruhparwar, Arjang, Karck, Matthias, Popov, Aron-Frederik, Dohmen, Pascal M, Weymann, Alexander
Format: Article
Language:English
Subjects:
Coronary Artery Bypass - methods
Coronary Artery Disease - surgery
Humans
Myocardial Revascularization - methods
Randomized Controlled Trials as Topic
Review
Treatment Outcome
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Summary:Total arterial revascularization is the leading trend in coronary artery bypass grafting (CABG) for the treatment of coronary artery disease (CAD). Adding to its superiority to vein conduits, arteries allow for a high degree of versatility and long-term patency, while minimizing the need for reintervention. This is especially important for patients with multi-vessel coronary artery disease, as well as young patients. However, arterial revascularization has come a long way before being widely appreciated, with some yet unresolved debates, and advances that never cease to impress. In this review, we discuss the evolution of this surgical technique and its clinical success, as well as its most conspicuous limitations in light of accumulated published date from decades of experience.
ISSN:2325-4416
2325-4394
2325-4416
DOI:10.12659/MSMBR.901508