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Indications, algorithms, and outcomes for coronary artery bypass surgery in patients with acute coronary syndromes

Yerokun, Babatunde A.; Williams, Judson B.; Gaca, Jeffrey; Smith, Peter K.; Roe, Matthew T.

doi: 10.1097/MCA.0000000000000364
Review in Depth

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.

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

Correspondence to Matthew T. Roe, MD, MHS, Duke Clinical Research Institute, 2400 Pratt Street, Room 7035, Durham, NC 27705, USA Tel: +1 919 668 8959; fax: +1 919 668 8665; e-mail:

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