How to build a multi-arterial coronary artery bypass programme: A stepwise approach

in collaboration with the Coronary Task Force of the European Association for Cardio-Thoracic Surgery

doi:10.1093/ejcts/ezaa377

How to build a multi-arterial coronary artery bypass programme: A stepwise approach

in collaboration with the Coronary Task Force of the European Association for Cardio-Thoracic Surgery

School of Medicine

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

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.

Original language	English (US)
Pages (from-to)	1111-1117
Number of pages	7
Journal	European Journal of Cardio-thoracic Surgery
Volume	58
Issue number	6
DOIs	https://doi.org/10.1093/ejcts/ezaa377
State	Published - Dec 1 2020

Keywords

Bilateral internal thoracic artery
Coronary artery bypass grafting
Multi-arterial grafting
Radial artery

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1093/ejcts/ezaa377

Cite this

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title = "How to build a multi-arterial coronary artery bypass programme: A stepwise approach",

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.",

keywords = "Bilateral internal thoracic artery, Coronary artery bypass grafting, Multi-arterial grafting, Radial artery",

author = "{in collaboration with the Coronary Task Force of the European Association for Cardio-Thoracic Surgery} and Gaudino, {Mario F.L.} and Sigrid Sandner and Giorgia Bonalumi and Lawton, {Jennifer S.} and Fremes, {Stephen E.}",

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AU - in collaboration with the Coronary Task Force of the European Association for Cardio-Thoracic Surgery

AU - Gaudino, Mario F.L.

AU - Sandner, Sigrid

AU - Bonalumi, Giorgia

AU - Lawton, Jennifer S.

AU - Fremes, Stephen E.

PY - 2020/12/1

Y1 - 2020/12/1

N2 - 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.

AB - 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.

KW - Bilateral internal thoracic artery

KW - Coronary artery bypass grafting

KW - Multi-arterial grafting

KW - Radial artery

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How to build a multi-arterial coronary artery bypass programme: A stepwise approach

Abstract

Keywords

ASJC Scopus subject areas

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