What are indications for coronary artery bypass grafting (CABG)?

Updated: Dec 04, 2019
  • Author: Rohit Shahani, MD, MS, MCh; Chief Editor: Karlheinz Peter, MD, PhD  more...
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Answer

Other indications for CABG include the following:

  • Disabling angina (class I)

  • Ongoing ischemia in the setting of a non–ST segment elevation myocardial infarction (MI) that is unresponsive to medical therapy (class I)

  • Poor LV function but with viable, nonfunctioning myocardium above the anatomic defect that can be revascularized

CABG may be performed as an emergency procedure in the context of an ST-segment elevation MI (STEMI) in cases where it has not been possible to perform percutaneous coronary intervention (PCI) or where PCI has failed and there is persistent pain and ischemia threatening a significant area of myocardium despite medical therapy.


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