Coronary Artery Bypass (CABG) surgery has been around since last 3-4 decades and surgeons have seen improved results with the time1. But simultaneous improvement in the Per-Cutaneous Interventions (PCI), cases with lesser disease are referred for the stenting (DES) and surgeons are getting difficult cases with multiple co-morbidities2.
Reference: 1. Mostad et al. Long-term survival after coronary bypass surgery and percutaneous coronary interventions. BMJ.DOI: http://dx.doi.org/10.1136/openhrt-2016-000489.
2. Serruys et al. Clinical outcomes of state-of-the-art percutaneous coronary revascularisation in patients with three-vessel disease: two-year follow-up of the SYNTAX II study. EuroIntervention 2019;15 e244-e252.
3. Davierwala et al. Current outcomes of off-pump coronary artery bypass grafting: evidence from real world practice. J Thoracic Diseases. DOI: 10.21037/jtd.2016.10.102.
4. Guida et al. Off-pump coronary artery bypass grafting in high-risk patients: a review.. J Thorac Dis. 2016 Nov; 8(Suppl 10): S795–S798.