What are the indications for a CABG?

The chief anatomical indications for CABG are the presence of triple-vessel disease, severe left main stem artery stenosis, or left main equivalent disease (ie, 70 percent or greater stenosis of left anterior descending and proximal left circumflex artery)—particularly if left ventricular function is impaired.

When is CABG preferred over PCI?

CABG is the preferred option for left main disease with 2- and 3-vessel disease and a SYNTAX score >32. CABG is also the preferred option even in the presence of a lower SYNTAX score when multiple complex lesions are present and PCI remains technically limited to achieve complete revascularization.

When is CABG contraindicated?

Contraindications to CABG include patient refusal, coronary arteries incompatible with grafting, and the absence of viable myocardium to graft.

When is CABG required?

Why might I need coronary artery bypass surgery? Your doctor uses coronary artery bypass graft surgery (CABG) to treat a blockage or narrowing of one or more of the coronary arteries to restore the blood supply to your heart muscle. Symptoms of coronary artery disease may include: Chest pain.

What is the difference between PCI and CABG?

Percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) are considered revascularization procedures, but only CABG can prolong life in stable coronary artery disease.

Which graft is used in CABG?

Internal thoracic arteries (also called ITA grafts or internal mammary arteries [IMA]) are the most common bypass grafts used. They are the standard of care, and the goal is to use these arteries for every patient who has isolated coronary artery bypass surgery.

Which is better CABG or PCI?

All-cause mortality was significantly higher with PCI compared with CABG. Due to the large number of individual data, subgroup analysis was feasible. It showed that in non-diabetic patients with multivessel disease and low (≤22) SYNTAX score, PCI was as safe and effective as CABG.

Who is not a candidate for CABG?

You may not be a good candidate if you have a: Pre-existing condition including an aneurysm, heart valve disease, or blood disease. Serious physical disability including an inability to care for yourself. Severe disease of another organ, such as the lungs or kidneys.

How long does a CABG last?

Results. After surgery, most people feel better and might remain symptom-free for as long as 10 to 15 years. Over time, however, it’s possible that other arteries or even the new graft used in the bypass will become clogged, requiring another bypass or angioplasty.

Is a CABG a PCI?

Percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) are considered revascularization procedures, but only CABG can prolong life in stable coronary artery disease. Thus, PCI and CABG mechanisms may differ.

Is CABG open heart surgery?

During the procedure, a surgeon cuts through the breastbone and spreads the ribcage to access the heart. Open-heart surgery may include CABG (bypass surgery), heart transplant and valve replacement.

What are the indications for use of a Hickman catheter?

Indications For Use Hickman* Hemodialysis/Apheresis Catheters are designed for long-term vascular access and for use in patients that lack adequate peripheral venous access. They are available in single lumen (10.8 and 14.4 Fr), and a dual lumen (13.5 Fr.), catheter configurations in various lengths.

How to check for blood in a hickman line?

Checking for blood is done when flushing the catheter to make sure it is still in the right spot in your vein� To do this, pull back gently on the plunger of the saline syringe� Watch for a small amount of blood drawn into the syringe� When you see blood, continue along to the next step in the flushing procedure.

When to close a Hickman Leonard or Broviac catheter?

Hickman, Leonard, or Broviaccatheter. When catheter damage or connector separation occurs, the catheter should be immediately clamped or kinked closed to pre- vent any possibility of air embolism or loss of blood. Universal precautions should be observed by all health care pro- fessionals when performing the procedures included in this man- ual. 5

What do the lumens of a hickman line do?

These lumens act like separate IV lines. If your Hickman line has 3 lumens, each one will be a different colour: red, blue, or white� The red lumen is used for taking blood samples or for giving blood products. The white and blue lumens are used for giving medications and IV fluids.