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04 October 2016 : Review article  

Total Arterial Revascularization: Bypassing Antiquated Notions to Better Alternatives for Coronary Artery Disease

Mostafa SamakABCDEFG, Javid FatullayevABCDEFG, Anton SabashnikovABCDEFG, Mohamed ZeriouhABCDEFG, Bastian SchmackABCDEFG, Arjang RuhparwarABCDEFG, Matthias KarckABCDEFG, Aron-Frederik PopovABCDEFG, Pascal M. DohmenABCDEFG, Alexander WeymannABCDEFG

DOI: 10.12659/MSMBR.901508

Med Sci Monit Basic Res 2016; 22:107-114

Abstract

Total arterial revascularization is the leading trend in coronary artery bypass grafting (CABG) for the treatment of coronary artery disease (CAD). Adding to its superiority to vein conduits, arteries allow for a high degree of versatility and long-term patency, while minimizing the need for reintervention. This is especially important for patients with multi-vessel coronary artery disease, as well as young patients. However, arterial revascularization has come a long way before being widely appreciated, with some yet unresolved debates, and advances that never cease to impress. In this review, we discuss the evolution of this surgical technique and its clinical success, as well as its most conspicuous limitations in light of accumulated published date from decades of experience.

Keywords: Arteries, Coronary Artery Bypass, Myocardial Revascularization

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Medical Science Monitor Basic Research eISSN: 2325-4416
Medical Science Monitor Basic Research eISSN: 2325-4416