Surgical treatment of coronary multivessel disease.
Coronary artery bypass grafting has had a significant impact on the treatment of angina, and has been the 'gold standard' since 1969. Its use and efficacy has been increased by revascularization in cardiac arrest and the use of the internal mammary artery. In parallel, catheter techniques have evolved by means of balloon dilatation and additional stenting. This has effected the referral to surgery despite the development of new arterialization techniques and minimally invasive surgery. As competing techniques, an acceptable equilibrium between surgery and stenting will be found within the next years.
Stanger
Olaf
O
University Hopsital for Cardiac Surgery Salzburg, Müllner Hauptstrasse 48, 5020 Salzburg, Austria. o.stanger@salk.at
Unger
Felix
F
D015906:Angioplasty, Balloon, Coronary; D002983:Clinical Competence; D047549:Coronary Artery Bypass, Off-Pump; D003327:Coronary Disease / Q000503:physiopathology / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery; D004691:Endarterectomy / Q000379:methods; D004724:Endoscopy; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D019060:Minimally Invasive Surgical Procedures; D009204:Myocardial Revascularization / Q000379:methods; D017534:Radial Artery / Q000637:transplantation; D012371:Robotics; D023822:Tissue Engineering; D020858:Tissue and Organ Harvesting / Q000379:methods; D014654:Vascular Patency; D014945:Wound Healing