What are contraindications 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

CABG is not considered appropriate in asymptomatic patients who are at a low risk of MI or death. Patients who will experience little benefit from coronary revascularization are also excluded.

Although advanced age is not a contraindication, CABG should be carefully considered in the elderly, especially those older than 85 years. These patients are also more likely to experience perioperative complications after CABG. A multidisciplinary heart team approach that emphasizes shared decision making in patients with complex CAD is essential to offer the patient the best chance of a successful revascularization strategy.


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