When is coronary artery bypass grafting (CABG) preferred over medical therapy?

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

Indications for CABG when PCI is noninferior to CABG and when PCI or CABG is preferred over medical therapy include the following [23] :

  • Left main disease of 50% stenosis or greater, and low-to-intermediate complexity for PCI (SYNTAX score ≤32)

  • Three-vessel disease of 70% stenosis or greater, and low complexity for PCI (SYNTAX score ≤22)

  • Two-vessel disease of 70% stenosis or greater, involving the LAD and low complexity for PCI (SYNTAX score ≤22)


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