Surgical and other procedures may be used to treat severe CAD and CAD that is causing angina when other treatment methods fail.
CABG is more commonly known as open-heart or bypass surgery. It is the most common type of heart surgery in the United States.
During this operation, a healthy blood vessel is removed from the leg or another area of the body. The healthy blood vessel is connected to the damaged artery just above and just below the blocked or partially blocked area. This allows some blood to bypass the damaged area by moving through the new blood vessel. If more than one area is blocked, a bypass can be done for each area (referred to as a double, triple, or quadruple bypass).
Types of CABG include:
Several studies indicate that traditional and off-pump CABG have similar short- and long-term results. Talk to your doctor about which option is better for you. Although CABG may relieve symptoms, it does not cure heart disease. You still must maintain a healthy lifestyle that includes achieving a healthy weight, eating a heart healthy diet, not smoking, and taking medications.
TMR is generally used in people who have inoperable CAD with severe angina. A laser is used through small incisions on the left side of the chest to create small channels in the affected part of the heart. These channels improve blood flow to the heart muscle. TMR can be done with or without CABG. A computer is used to pulse the laser at a specific time in the least active part of the heart beat cycle.
Other procedures are used to open blocked arteries include:
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Cardiac procedures and surgeries. American Heart Association website. Available at: http://www.heart.org/HEARTORG/Conditions/HeartAttack/PreventionTreatmentofHeartAttack/Cardiac-Procedures-and-Surgeries_UCM_303939_Article.jsp. Updated March 22, 2013. Accessed January 28, 2014.
Coronary artery bypass graft (CABG). EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 2, 2013. Accessed January 28, 2014.
Percutaneous coronary intervention (PCI). EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated January 7, 2014. Accessed January 28, 2014.
Revascularization for coronary artery disease (CAD). EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 7, 2013. Accessed January 28, 2014.
What is coronary artery bypass grafting? National Heart, Lung, and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/cabg. Updated February 23, 2012. Accessed January 28, 2014.
Last reviewed September 2013 by Michael J. Fucci, DO
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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