Coronary artery bypass grafting Guidelines: Latest (2011) updates

Posted by: admin on: January 25, 2012

Guidelines of CABG were first issued in 1991 and last revision was in 2004. 2011 witnessed yet another update to the existing guidelines, what with rapidly changing surgical scenario.


The American College of Cardiology Foundation and the American Heart Association have now updated the Practice Guidelines for coronary artery bypass grafting (CABG) surgery.1

The initial guidelines for CABG surgery were published in 19912 and later revised in 1999 and 2004. 3-5With the evolution in the surgical approach to coronary artery disease (CAD) and significant advances in percutaneous coronary intervention (PCI) technology, the current CABG guidelines are now internally consistent with the American College of Cardiology/American Heart Association consensus guidelines for PCI. The process to arrive at these consistent guidelines involved combining some of the writing committees from both the CABG and PCI groups to reach a broad consensus on the revascularization guidelines.

With advances in stent technology, the indications to perform PCI have expanded. This is reflected by recommendations concerning the use of stents for the treatment of left main disease.



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