What are indications for coronary artery bypass grafting ...

Other indications for CABG include the following: Disabling angina (Class I) Ongoing ischemia in the setting of a non-ST segment elevation ... ForYou News&Perspective Drugs&Diseases CME&Education Academy Video DecisionPoint  Specialty: Multispecialty Allergy&Immunology Anesthesiology Cardiology CriticalCare Dermatology Diabetes&Endocrinology EmergencyMedicine FamilyMedicine Gastroenterology GeneralSurgery Hematology-Oncology HIV/AIDS HospitalMedicine InfectiousDiseases InternalMedicine Multispecialty Nephrology Neurology Ob/Gyn&Women'sHealth Oncology Ophthalmology Orthopedics Pathology&LabMedicine Pediatrics PlasticSurgery Psychiatry PublicHealth PulmonaryMedicine Radiology Rheumatology Transplantation Urology TodayonMedscape BusinessofMedicine MedicalLifestyle Science&Technology MedicalStudents Nurses Pharmacists Residents Edition: English Medscape English Deutsch Español Français Português UKNew Univadis LogIn SignUpIt'sFree! EnglishEdition Medscape English Deutsch Español Français Português UKNew Univadis X UnivadisfromMedscape Register LogIn NoResults NoResults Monday,May30,2022 ForYou News&Perspective Drugs&Diseases CME&Education Academy Video DecisionPoint close PleaseconfirmthatyouwouldliketologoutofMedscape. Ifyoulogout,youwillberequiredtoenteryourusernameandpasswordthenexttimeyouvisit. Logout Cancel https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly93d3cubWVkc2NhcGUuY29tL2Fuc3dlcnMvMTg5Mzk5Mi0xMDE5OTkvd2hhdC1hcmUtaW5kaWNhdGlvbnMtZm9yLWNvcm9uYXJ5LWFydGVyeS1ieXBhc3MtZ3JhZnRpbmctY2FiZw== processing.... Drugs&Diseases > ClinicalProcedures > CoronaryArteryBypassGraftingQ&A Whatareindicationsforcoronaryarterybypassgrafting(CABG)? Updated:Dec04,2019 Author:RohitShahani,MD,MCh,FACC,FACS;ChiefEditor:KarlheinzPeter,MD,PhD more... References Share Email Print Feedback Close Facebook Twitter LinkedIn WhatsApp Answer OtherindicationsforCABGincludethefollowing: Disablingangina(ClassI) Ongoingischemiainthesettingofanon-STsegmentelevationmyocardialinfarction(NSTEMI)thatisunresponsivetomedicaltherapy(ClassI) Poorleftventricularfunctionbutwithviable,nonfunctioningmyocardiumabovetheanatomicdefectthatcanberevascularized ClinicallysignificantCADof70%stenosisorgreater,in1ormorevessel(s),andrefractoryanginadespitemedicaltherapyandPCI [23] ClinicallysignificantCADof70%stenosisorgreater,in1ormorevessel(s),insurvivorsofsuddencardiacarrestpresumedtoberelatedtoischemicventriculararrhythmia [23] ClinicallysignificantCADof50%stenosisorgreater,in1ormorevessel(s), inpatientsundergoingcardiacsurgeryforotherindications(eg,valvereplacementoraorticsurgery) [23] CABGmaybeperformedasanemergencyprocedureinthecontextofaSTEMIincaseswhereithasnotbeenpossibletoperformPCIorwherethisprocedurehasfailedandthereispersistentpainandischemiathreateningasignificantareaofthemyocardiumdespitemedicaltherapy. OtherindicationsforCABGinthesettingofSTEMIareventricularseptaldefectrelatedtoMI,papillarymusclerupture,freewallrupture,ventricularpseudoaneurysm,life-threateningventriculararrhythmias,andcardiogenicshock. ReadMore Didthisansweryourquestion? Yes No Additionalfeedback?(Optional) Submit Thankyouforyourfeedback! RelatedQuestions:   References [Guideline]HillisLD,SmithPK,AndersonJL,etal.2011ACCF/AHAguidelineforcoronaryarterybypassgraftsurgery:areportoftheAmericanCollegeofCardiologyFoundation/AmericanHeartAssociationTaskForceonPracticeGuidelines.Circulation.2011Dec6.124(23):e652-735.[Medline].[FullText]. [Guideline]EagleKA,GuytonRA,DavidoffR,etal.ACC/AHA2004guidelineupdateforcoronaryarterybypassgraftsurgery:summaryarticle:areportoftheAmericanCollegeofCardiology/AmericanHeartAssociationTaskForceonPracticeGuidelines(CommitteetoUpdatethe1999GuidelinesforCoronaryArteryBypassGraftSurgery).Circulation.2004Aug31.110(9):1168-76.[Medline].[FullText]. 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Thisvideodemonstratescoronaryarterybypassgraftingwithcardiopulmonarybypassandcardioplegicarrest.VideocourtesyofDaleKMueller,MD. of 7 Tables BacktoList ContributorInformationandDisclosures Author RohitShahani,MD,MCh,FACC,FACS AttendingPhysician,DepartmentofCardiothoracicSurgery,StatenIslandUniversityHospital,NorthwellHealth RohitShahani,MD,MCh,FACC,FACSisamemberofthefollowingmedicalsocieties:AmericanAssociationofPhysiciansofIndianOrigin,AmericanCollegeofCardiology,AmericanCollegeofSurgeons,AmericanMedicalAssociation,IndianAssociationofCardiovascular-ThoracicSurgeons,MedicalSocietyoftheStateofNewYork,SocietyofThoracicSurgeonsDisclosure:Nothingtodisclose. ChiefEditor KarlheinzPeter,MD,PhD ProfessorofMedicine,MonashUniversity;HeadofCentreofThrombosisandMyocardialInfarction,HeadofDivisionofAtherothrombosisandVascularBiology,AssociateDirector,BakerHeartResearchInstitute;InterventionalCardiologist,TheAlfredHospital,Australia KarlheinzPeter,MD,PhDisamemberofthefollowingmedicalsocieties:AmericanHeartAssociation,GermanCardiacSociety,CardiacSocietyofAustraliaandNewZealandDisclosure:Nothingtodisclose. AdditionalContributors RHBilal,MBBS,MRCS SpecialistRegistrarinCardiothoracicSurgery,NorthWestCardiothoracicRotation,UK RHBilal,MBBS,MRCSisamemberofthefollowingmedicalsocieties:BritishMedicalAssociationDisclosure:Nothingtodisclose. AndrewJDuncan,MBChB,FRCS(C-Th) ConsultantCardiothoracicSurgeon,LancashireCardiacCentre,VictoriaHospital,UKDisclosure:Nothingtodisclose. DumborLaatehNgaage,MBBS,MS,FRCSEd,FWACS,FETCS,FRCS(C-Th) ConsultantCardiothoracicSurgeon,BlackpoolVictoriaHospital,UKDisclosure:Nothingtodisclose. BridieRO'Neill UniversityofManchester,UKDisclosure:Nothingtodisclose. MahvashZaman UniversityofLiverpoolFacultyofMedicine,UKDisclosure:Nothingtodisclose. SarahMahmood UniversityofLiverpoolFacultyofMedicine,UKDisclosure:Nothingtodisclose. Acknowledgements MaryLWindle,PharmDAdjunctAssociateProfessor,UniversityofNebraskaMedicalCenterCollegeofPharmacy;Editor-in-Chief,MedscapeDrugReference Disclosure:Nothingtodisclose. Acknowledgments MedscapeReferencethanksDaleKMueller,MD,forassistancewiththevideocontributiontothisarticle.DrMuellerisClinicalAssociateProfessorofSurgery,SectionChief,DepartmentofSurgery,UniversityofIllinoisCollegeofMedicine;Co-MedicalDirector,ThoracicCenterofExcellence,Vice-Chair,DepartmentofCardiovascularMedicineandSurgery,OSFStFrancisMedicalCenter;andDirector,AdultECMO,CardiovascularandThoracicSurgeon,HeartCareMidwest,SC. 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