© 2002 by Heart
EDITORIAL
A standard from the classical period
Correspondence to:
Correspondence to:
Dr William O Myers, Marshfield Clinic, 1000 North Oak Avenue, Marshfield, WI 54449, USA;
myers.william@marshfieldclinic.org
New developments in bypass grafting and percutaneous interventions should increase the safety and tolerability of coronary revascularisation. But how long does the benefit last?
Keywords: coronary artery bypass grafting; percutaneous transluminal coronary bypass
Abbreviations: CABG, coronary artery bypass grafting; CASS, coronary artery surgery study; OM operative mortality; PTCA, percutaneous transluminal coronary angioplasty; ITA, internal thoracic artery
| The first 150 words of the full text of this article appear below. |
Dating from the late 1960s, coronary artery bypass grafting (CABG) remained a standard practice for a good 30 years. Percutaneous approaches came along halfway through that period, but the CABG operation did not change much. The widespread adoption of the internal thoracic artery (ITA) conduit to supply the left anterior descending coronary artery was the most significant modification, but was itself a return to pioneer work in the field.
Coronary artery intervention is currently changing almost by the day. Now CABG with minimally invasive and increasingly off-pump application fills the programmes of surgical scientific meetings. We hear about the possibility of non-sewn anastomoses, and hints of robotic surgery somewhere over the horizon. Plain old balloon angioplasty is entering the arena of multivessel disease, and is rapidly being supplanted by intracoronary stenting. New stent materials and new stent coatings are continually coming on line. Temporary filter devices are being developed to
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This article has been cited by other articles:
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Blackledge, H M, Squire, I B
(2009). Improving long-term outcomes following coronary artery bypass graft or percutaneous coronary revascularisation: results from a large, population-based cohort with first intervention 1995-2004. Heart
95: 304-311
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