Johnson & Johnson Institute
Coronary artery bypass grafting (CABG)
Procedure overview
A coronary artery bypass graft (CABG) is a heart bypass. The CABG procedure involves “bypassing” blood around blockages in the proximal coronary arteries. CABG surgery frequently involves harvesting blood vessels from the chest, arm or leg to be used as conduits in the bypass, followed by coronary anastomosis. The procedure can be performed On-pump or Off-pump.
Indications
- Critical stenosis of the left main artery
- Severe angina that does not respond to medication
- Significant stenosis (> 60%) in at least one major coronary artery not amenable to PCI
- Significant stenosis of all three major coronary arteries
- Repeated angioplasty and repeated restenosis after angioplasty
- Blockage in a graft created in previous surgery
Contraindications
- Patients with coronary disease that’s amenable to PCI (stenting)
- High risk based on medical condition for open heart surgery (i.e., severe COPD, renal failure, obesity, age)
- CAD that is not amenable for bypassing
- Patients without significant left anterior descending artery (LAD) disease
References
Arthur Thomas Martella, MD prepared this procedure guide on behalf of Johnson & Johnson and its affiliates. The procedure guide reflects the opinions of the individual presenter, and the steps described may not encompass the complete steps of the procedure. Additionally, other surgeons may prefer different techniques, approaches, etc., as individual surgeon experience in his/her clinical practice, as well as patient needs, may dictate variation in procedure steps.
Before using any medical device, review all labeling, including without limitation; the Instructions For Use (IFU), and relevant package inserts with particular attention to the indications, contraindications, warnings and precautions, and steps for use of the device(s).
This presentation is not accredited for CE/CME.
Arthur Thomas Martella, MD is compensated by and presenting on behalf of Johnson & Johnson and its affiliates and must present information in accordance with applicable regulatory requirements.
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