Operative mortality with coronary artery bypass graft: where do we stand in 2015?. (November 2015)

• Record Type: Journal Article
• Authors: Kimmaliardjuk, Donna May; Toeg, Hadi; Glineur, David; Sohmer, Benjamin; Ruel, Marc
• Is Part Of: Current opinion in cardiology. Volume 30:Number 6(2015:Nov.)
• Publication Date: 2015-11
• Subjects: beating heart and less invasive cardiac surgery -- cardiac anaesthesia -- centres of excellence -- coronary artery bypass grafting -- quality indicators; Cardiology -- Periodicals; Cardiology -- Periodicals; Heart Diseases -- Periodicals; Cardiology; Periodicals; 616.12
• DOI: 10.1097/HCO.0000000000000220
• Languages: English
• ISSNs: 0268-4705

Abstract

Abstract : Purpose of review: Coronary artery bypass graft (CABG) surgery has evolved and become much safer since its inception. This article outlines recent strategies in optimizing CABG mortality. Recent findings: Improving operative mortality around CABG relates to five components. These include the role of relevant quality indicators; improved CABG techniques, such as multiple arterial grafting with less manipulation of the aorta; improvements in cardiopulmonary bypass; refinements in cardiac anaesthesia along with postoperative care; and the development of centres of excellence. Summary: The development of advanced surgical revascularization techniques raises the question as to whether CABG expertise should be considered a sub-specialty of cardiac surgery. An expert CABG surgeon should be able to appropriately utilize several different revascularization techniques to adjust the operation to the patient, rather than the contrary.