What are the technical recommendation for performance of 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

Technical recommendations for CABG are presented in Table 11 below.

Table 11. Technical Recommendations for Coronary Artery Bypass Grafting (Open Table in a new window)

 

Recommendation

Level of Evidence

Procedures should be performed in a hospital structure and by a team specialized in cardiac surgery, using written protocols

Class I

B

Arterial grafting to the LAD system is indicated

Class I

A

Complete revascularization with arterial grafting to a non-LAD coronary system is indicated in patients with a reasonable life expectancy

Class I

A

Minimization of aortic manipulation is recommended

Class I

C

Graft evaluation is recommended before departure from the operating theater

Class I

C

LAD = left anterior descending (artery).


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