New strategies for surgical myocardial revascularization

Mario Gaudino, Faisal Bakaeen, Piroze Davierwala, Antonino Di Franco, Stephen E. Fremes, Nirav Patel, John D. Puskas, Marc Ruel, Gianluca Torregrossa, Michael Vallely, David P. Taggart

Research output: Contribution to journalArticlepeer-review

42 Scopus citations


We summarize the evidence on the new strategies for coronary artery bypass grafting (CABG). Hybrid CABG implies surgical grafting of the left anterior descending artery and percutaneous treatment of the other target vessels, with the promise of combining the durable benefits of surgery with the less invasive approach of percutaneous coronary interventions. Robotic CABG and minimally invasive CABG are performed through minimal incision or port access with dedicated equipment and instruments. Anaortic coronary artery bypass refers to off-pump CABG using only in-situ grafts. The use of multiple arterial grafts has been shown to improve patency and is potentially associated with better clinical outcomes. All these techniques require dedicated training and are more complex than conventional CABG but can significantly improve the results of surgery. Validation of the results of these new approaches in large randomized trials is a priority for the surgical community.

Original languageEnglish
Pages (from-to)2160-2168
Number of pages9
Issue number19
StatePublished - 2018


  • cardiac surgical procedures
  • coronary artery bypass
  • myocardial revascularization


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