Key result
Total arterial CABG is highly efficacious but faces low adoption due to technical complexity and risks.
Why the study?
Despite guidelines and evidence supporting total arterial myocardial revascularization, rates remain low due to skepticism, technical complexity, and specific risk factors.
Answers are grounded in this paper and cite their sources.
Despite its high efficacy, total arterial myocardial revascularization remains underutilized in clinical practice due to technical challenges and perceived risks.
The review presents the current concept oftotal arterial myocardial revascularization, main studies focusing on it, recent guidelines and commonly used techniques, which let speak about high efficacy this kind procedure. However, in medical society there is a certain part of disbelief with respect to performance of coronary artery bypass grafting using only arterial conduits, and even in justifiable cases when the choice is obvious, the percentage of mentioned operations is still low. It can be explained by both technically much more difficult manipulations and particular risk factors, which contribute discreet approach in the wide use of total arterial myocardial revascularization.
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А. В. Фролов (2019) conducted a review in Coronary artery disease. Total arterial myocardial revascularization was evaluated. Total arterial myocardial revascularization is highly efficacious, but its clinical adoption remains low due to technical complexity and specific risk factors.
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