Coronary Artery Bypass Grafting (CABG)
Coronary Artery Bypass Grafting (CABG) remains a cornerstone treatment for advanced coronary artery disease, especially in multivessel disease, left main stenosis, diffuse atherosclerosis, and diabetes. This session explores the history, techniques, patient selection criteria, grafting strategies, and long-term outcomes of CABG. As cardiovascular professionals search for a specialized cardiology conference, this session provides comprehensive insight into surgical revascularization and its role alongside PCI and medical therapy.
Participants will review conduit choices—including internal mammary arteries, saphenous vein grafts, radial arteries—and understand how graft selection affects long-term patency. The session explores on-pump vs. off-pump surgery, arterial revascularization techniques, endoscopic vein harvesting, anesthetic considerations, perioperative anticoagulation, and strategies to minimize complications.
A major part of this session focuses on implementing advanced CABG management strategies. Attendees will examine the heart team decision-making approach, compare CABG with PCI in different populations, and review SYNTAX score interpretation. The description covers perioperative complications—atrial fibrillation, bleeding, renal dysfunction, infection—and how to optimize preoperative evaluation, intraoperative monitoring, and postoperative recovery pathways.
Future directions such as robotic-assisted CABG, total arterial revascularization, improved vein graft preservation, and advanced postoperative rehabilitation are examined. By the end, participants will understand how CABG remains a durable, evidence-based strategy for complex coronary disease.
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Fundamentals of CABG
Graft Selection and Patency
- Choosing arterial or venous conduits for long-term outcomes.
- Understanding factors influencing graft survival.
Surgical Techniques and Approaches
- Comparing on-pump and off-pump CABG.
- Mastering anastomosis techniques and conduit preparation.
Pre- and Postoperative Management
- Optimizing risk factors before surgery.
- Managing complications and enhancing recovery post-CABG.
Role of the Heart Team
- Integrating cardiology and surgery for optimal decision-making.
- Evaluating angiographic and anatomical complexity.
Benefits for Patients and Systems
Improved Survival in Complex CAD
CABG offers superior long-term outcomes in select populations.
Durable Revascularization
Arterial grafts provide extended patency.
Better Symptom Relief
CABG reduces angina and improves function.
Lower Repeat Procedures
Long-lasting grafts reduce need for reintervention.
Safer Surgical Options
Modern techniques minimize perioperative risk.
Enhanced Rehabilitation
Comprehensive programs speed return to normal living.
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