title: Indications, algorithms, and outcomes for coronary artery bypass surgery in patients with acute coronary syndromes.
abstract: For patients with a non-ST-segment elevation acute coronary syndrome (NSTE-ACS), guideline recommendations and treatment pathways focus on revascularization for definitive treatment if the patient is an appropriate candidate. Despite the widespread use of revascularization for NSTE-ACS, most patients undergo a percutaneous coronary intervention, whereas a minority of patients undergo coronary artery bypass grafting. Focusing specifically on the USA, the contemporary utilization, preoperative and perioperative considerations, and outcomes of NSTE-ACS patients undergoing coronary artery bypass grafting have not been comprehensively reviewed.
authors.affiliation: aDuke Clinical Research Institute bDepartment of Surgery, Division of Cardiovascular and Thoracic Surgery cDepartment of Medicine, Division of Cardiology, Duke University Medical Center, Durham, North Carolina, USA.
authors.forename: Babatunde A
authors.initials: BA
authors.lastname: Yerokun
authors.forename: Judson B
authors.initials: JB
authors.lastname: Williams
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Gaca
authors.forename: Peter K
authors.initials: PK
authors.lastname: Smith
authors.forename: Matthew T
authors.initials: MT
authors.lastname: Roe
mesh_terms: D054058:Acute Coronary Syndrome / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D000465:Algorithms; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000401:mortality; D003661:Decision Support Techniques; D006801:Humans; D000072658:Non-ST Elevated Myocardial Infarction / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D018579:Patient Selection; D011237:Predictive Value of Tests; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D014481:United States