Current Developments in Coronary Artery Bypass Grafting

A special issue of Hearts (ISSN 2673-3846).

Deadline for manuscript submissions: 28 February 2025 | Viewed by 1811

Special Issue Editor


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Guest Editor
West-German Heart and Vascular Center, Department of Thoracic and Cardiovascular Surgery, University of Duisburg Essen, 45122 Essen, Germany
Interests: acute coronary syndromes; cardiac biomarker research; ischemia/reperfusion injury research; cardio-protection and conditioning; coronary artery bypass grafting; minimal invasive valve surgery; aortic valve surgery; mitral and tricuspid valve repair; transcatheter and endovascular techniques; outcome research; beating heart surgery
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Special Issue Information

Dear Colleagues,

Myocardial revascularization of coronary artery disease (CAD) by either percutaneous coronary intervention (PCI) or coronary arterial bypass graft (CABG) surgery is the most commonly performed procedure in industrialized nations worldwide. In this context, the surgical approach of myocardial revascularization, i.e., CABG, is the most frequently performed cardiac operation, and its prognostic advantages have been clearly demonstrated. Despite an increasing risk profile and negative selection of CAD patients to be surgically treated, outcomes have consistently improved over the past decades, whereas mortality and perioperative complications have significantly decreased in an opposite manner.

These significant advances in the surgical treatment of CAD are due to the numerous strategic, technical, and surgical, as well as perioperative improvements, and finally, to the tremendous generation of robust trial evidence for this surgical method. Continuous improvements and advances of surgical techniques in CABG surgery, be it off-pump or on-pump; the optimization of cardio-protective measures; stroke-preventive measures with targeted evaluation of the ascending aorta and aortic ‘no-touch’ techniques; the further developed and improved minimally invasive approaches; the adequate and individualized use of arterial and venous bypass grafts; the medical treatment and/or surgical-adjuvant optimization; improvements in perioperative mechanical circulatory support measures, as well as significant progress in anesthesiology and perioperative intensive care management; and not least, the systematic and unsparing processing of CABG outcomes by quality control are only a few keywords in this context, which in their entirety make current and future CABG surgery a success story in cardiovascular medicine.

It is my great pleasure and honor to invite worldwide experts in the field of coronary artery bypass graft surgery to join the scientific debate and participate by contributing their current scientific work to this Special Issue of the Journal of Clinical Medicine, entitled ‘Current Developments in Coronary Artery Bypass Grafting’.

This is a conjunct Special Issue of JCM and Hearts. Authors are free to choose the journal they would like to submit to based on their submission topic.

Prof. Dr. Matthias Thielmann
Guest Editor

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Keywords

  • myocardial revascularization
  • cardiac surgery
  • coronary artery bypass grafting
  • off-pump/beating heart/on-pump surgery
  • cardioprotection
  • multiarterial grafting
  • minimally invasive approaches
  • quality control

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Published Papers (3 papers)

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Editorial

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3 pages, 155 KiB  
Editorial
Single-Vessel PCI Versus CABG: Navigating Single-Vessel Disease Treatment
by Yun Yun Go and Patrizio Lancellotti
Hearts 2024, 5(4), 572-574; https://doi.org/10.3390/hearts5040043 - 14 Nov 2024
Viewed by 300
Abstract
Clinical equipoise remains regarding the optimal revascularization strategy for single-vessel disease, specifically isolated left anterior descending (LAD) artery disease, owing to the scarcity of contemporary randomized controlled trials [...] Full article
(This article belongs to the Special Issue Current Developments in Coronary Artery Bypass Grafting)
3 pages, 139 KiB  
Editorial
Long Time No See! Revisiting Single-Vessel Revascularization: Importance of Robust Study Design and Database Utilization
by Christoph A. Nienaber and Stephan Nienaber
Hearts 2024, 5(4), 569-571; https://doi.org/10.3390/hearts5040042 - 13 Nov 2024
Viewed by 433
Abstract
The group around Gabriel Yeap et al [...] Full article
(This article belongs to the Special Issue Current Developments in Coronary Artery Bypass Grafting)

Research

Jump to: Editorial

12 pages, 1300 KiB  
Article
Characteristics and In-Hospital Outcomes of Single-Vessel Coronary Disease Intervention: A Propensity-Matched Analysis of the National Inpatient Sample Database 2016–2020
by Gabriel Yeap, Kamleshun Ramphul, Javed M. Ahmed, Asif Shah, Saddam Jeelani, Hemamalini Sakthivel, Mansimran Singh Dulay, Farhan Shahid and Raheel Ahmed
Hearts 2024, 5(4), 557-568; https://doi.org/10.3390/hearts5040041 - 13 Nov 2024
Viewed by 342
Abstract
Background/Objectives: Few studies have analyzed in-hospital complications and events following percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) procedures for patients who underwent these interventions for single-vessel coronary artery disease (CAD). This study aims to compare the outcomes of PCI and [...] Read more.
Background/Objectives: Few studies have analyzed in-hospital complications and events following percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) procedures for patients who underwent these interventions for single-vessel coronary artery disease (CAD). This study aims to compare the outcomes of PCI and CABG in such patients using a large propensity-matched real-world database based on procedural codes. Methods: Adult patients receiving PCI or CABG for single-vessel CAD were identified from the 2016–2020 National Inpatient Sample (NIS) database. Any cases targeting multi-vessel disease or employing a multi-treatment approach were excluded using appropriate procedural codes. Differences in events and complications from admission to discharge were studied between the two procedures (PCI vs. CABG) via logistic regression analysis. Results: After propensity matching with 273,380 patients in both groups, complication risks such as cardiac tamponade (aOR: 3.6 [3.27–3.96]), acute kidney injury (aOR: 1.53 [1.51–1.56]), cardiogenic shock (aOR: 1.38 [1.34–1.40]), procedural bleeding (aOR: 1.75 [1.67–1.83]), acute ischemic stroke (aOR: 1.89 [1.80–1.97]), and all-cause mortality (aOR: 1.05 [1.02–1.08]) were higher among CABG patients. No differences were observed for events of cardiac perforation (aOR: 0.92, [0.84–1.01]). Conclusions: In this large real-world propensity-matched analysis, CABG was associated with higher risks of multiple in-hospital complications and all-cause mortality compared to PCI following a single-vessel coronary intervention. Full article
(This article belongs to the Special Issue Current Developments in Coronary Artery Bypass Grafting)
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