Why the study?
Does coronary artery endarterectomy as an adjunct to CABG affect operative mortality, complications, and long-term survival compared to isolated CABG in patients with extensive coronary artery disease?
Does coronary artery endarterectomy as an adjunct to CABG affect operative mortality, complications, and long-term survival compared to isolated CABG in patients with extensive coronary artery disease?
Coronary endarterectomy is an acceptable adjunct to CABG for achieving complete revascularization in patients with extensive coronary artery disease, offering comparable mortality and long-term survival.
Supports adjunctive CE in extensive CAD; leaves open need for RCTs before practice change.
Patients undergoing CABG with coronary CE required longer ventilatory support and ICU stay yet have comparable operative mortality, major complication rates, and long-term survival to isolated CABG. Coronary endarterectomy should be considered an acceptable adjunct to CABG for patients with extensive coronary artery disease to achieve complete revascularization.
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LaPar et al. (2011) studied this question.
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