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A 33-year-old member asked:

What exactly is "endarterectomy" in coronary artery bypass surgery?

2 doctor answers5 doctors weighed in
Dr. Shahin Tavackoli
Cardiology 23 years experience
Rare!: Endarterectomy is not commonly performed during coronary artery bypass grafting; but in the strict sense of it, it is the removal of the plaque and really part of the inside wall of the artery during the operation. This by the way, is the common way of clearing the carotid arteries (arteries in the neck).
Dr. Mario Matos-Cruz
Thoracic Surgery 39 years experience
Sometimes coronary endarterectomy may be required as the last high risk attemp at coronary revascularization. However, acute coronary thombosis may occur depending on the extent..
Feb 29, 2012
Dr. Mario Matos-Cruz
Thoracic Surgery 39 years experience
Endarterectomy: A microsurgical arteriotomy is done on the affected coronary. The atheromatous plaque is removed with microvascular instruments, i normally use 5.5x magnification. The arteriotomy is then closed with a vein patch angioplasty or the distal end of a mammary artery or vein graft bypass using 8-0 or 7-0 microsurgical vascular sutures.

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A 38-year-old member asked:

What is "endartenetomy" in coronary artery bypass?

1 doctor answer2 doctors weighed in
Dr. Steven Ajluni
Cardiology 35 years experience
Endarterectomy : Endarterectomy refers to a procedure wherein a surgical plane of resection of the inner lining of a diffuse narrowed blood vessel is undertaken. This improves the blood flow. Because of the diffuse involvement however there is a greater risk of recurrent narrowings there.
CA
A 38-year-old member asked:

What are the advantages and limitations of coronary artery bypass surgery?

2 doctor answers6 doctors weighed in
Dr. Jeffrey Everett
Thoracic Surgery 32 years experience
Survival advantage: The advantages include relief of chest pain, prevention of heart attack and improving survival. The limitations include risks of surgery, pain and recovery time.
A 38-year-old member asked:

I was wondering is coronary artery bypass surgery expensive?

1 doctor answer1 doctor weighed in
Dr. Calvin Weisberger
Cardiology 51 years experience
CABG: Coronary artery bypass surgery is expensive. There are many doctors, nurses and facilities involved.
A 34-year-old member asked:

What is the death rate of coronary artery bypass surgery?

3 doctor answers9 doctors weighed in
Dr. Shahin Tavackoli
Cardiology 23 years experience
Less than 1%: It should be less than (typically, much less than, these days) 1% overall for any institution. If it is more, perhaps they should not be performing the procedure.
Dr. Mario Matos-Cruz
Thoracic Surgery 39 years experience
The mortality of coronary bypass depends on co-morbidities, coronary anatomy, cardiac function, acuity, acute MI or not. May go from 1 to 15-20% sometimes higher. The Society of Thoracic Surgeons Risk calculator will inform you the actual mortality on patients with the particular risk prophile.
Feb 29, 2012
A 48-year-old member asked:

What is the risk rate on coronary artery bypass surgery?

3 doctor answers6 doctors weighed in
Dr. Roberto Rodriguez
Thoracic Surgery 22 years experience
STS risk calculator: You can estimate the risk with the sts risk calculator. Search "sts risk calculator" on your favorite search engine. Based on many factors; age, comorbodities, renal function, ect... It will estimate the risk of having surgery. For a healthy 50 yo it should be around 1% mortality if undergoing bypass.

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Last updated Jul 7, 2019

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