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BÀN LUẬN Issue: Số 108 BỆNH MẠCH VÀNH

Coronary artery bypass surgery: Evidence-based strategies

Phan Quang Thuận: Bệnh viện Đại học Y Dược Thành phố Hồ Chí Minh; Phạm Trần Việt Chương: Bệnh viện Đại học Y Dược thành phố Hồ Chí Minh; Nguyễn Hoàng Định: Bệnh viện Đại học Y Dược thành phố Hồ Chí Minh;
Published: March 31, 2024
Views: 104
DOI 10.58354/jvc.108.2024.692

Abstract

Coronary artery bypass grafting (CABG) remains the established standard for treating coronary artery reperfusion issues in both diabetic patients and those with complex coronary anatomies. Nevertheless, a significant number of patients continue to decline this surgical option due to concerns related to patient awareness, fear of pain and the surgical scars. This reluctance poses challenges in convincing patients to opt for CABG. This perception is shaped not only by the quality of communication between the surgeon and the patient but also relies heavily on the recommendations of other healthcare professionals within the cardiology team.

Our literature review, conducted using keywords from reputable medical databases such as PubMed, Embase, and Cochrane, focused on identifying optimal approaches to accessing coronary artery bypass surgery.

Currently, the prevailing trend in CABG is the development of minimally invasive techniques and robotic. These advancements aim to reduce the invasiveness of the procedure, making it more appealing and acceptable to patients. Additionally, effective communication with patients and the sharing of knowledge with non-surgical colleagues within the coronary artery disease (CAD) treatment team play pivotal roles in selecting the most suitable reperfusion method for patients. This, in turn, contributes not only to the enhancement of CAD treatment but also to the advancement of percutaneous coronary intervention.

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Issue Số 108
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