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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Published inMedical science monitor. Basic research Vol. 22; pp. 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 Journal Article
LanguageEnglish
Published United States International Scientific Literature, Inc 04.10.2016
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.
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Data Interpretation
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Manuscript Preparation
Statistical Analysis
ISSN:2325-4416
2325-4394
2325-4416
DOI:10.12659/MSMBR.901508