Graft quality verification in coronary artery bypass graft surgery: how, when and why? : Current Opinion in Cardiology

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Graft quality verification in coronary artery bypass graft surgery

how, when and why?

Kieser, Teresa M.

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Current Opinion in Cardiology 32(6):p 722-736, November 2017. | DOI: 10.1097/HCO.0000000000000452


Purpose of review 

The coronary artery bypass graft (CABG) operation is one of the few remaining operations/interventions on diseased arteries that are not routinely verified during or immediately after the procedure. This review answers the ‘how’, ‘when’ and ‘why’ of intraoperative CABG assessment.

Recent findings 

More recent than new literature on this topic, is the increased interest in quality assurance of CABG. This is most likely due to reports in the last 5 years suggesting CABG superiority to percutaneous coronary intervention (PCI) for improved mid-term and long-term outcomes; for example, for patients with diabetes mellitus (Freedom Trial by Farkouh in 2012), and for patients with SYNTAX score ≥ 33 (SYNTAX Trial by Mohr in 2013). Possibly CABG is re-emerging from the era-of-better-and-better-stents and is now deemed worthy of improvement.


In order to fully compliment PCI, the operative major adverse cardiac event rate of CABG must rival that of PCI. In order to reduce technical errors, it is best practice to perform intra-operative assessment of bypasses, especially since we have the tools.


In Volume 32 Issue 6, the article, ‘Graft quality verification in coronary artery bypass graft surgery: how, when and why?’ , has an incorrect Figure 3c. Figure 3 should instead appear as follows:

5+ images

The record is hereby corrected.

Current Opinion in Cardiology. 33(1):121, January 2018.

Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.

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