Total Arterial CABG
Total Arterial CABG
Total arterial revascularization is gaining popularity in coronary artery bypass grafting (CABG) for the treatment of coronary artery disease (CAD). It enables a high degree of versatility and long-term patency, in addition to minimizing the need for future re-interventions. It has been very successful in patients with multi-vessel coronary artery disease, diabetic as well as in young patients.
According to medical research, total arterial CABG is associated with improved and long-term freedom from major adverse cardiac and cerebrovascular symptoms and may be the procedure of choice for patients requiring CABG.
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Arteries are more resistant to blockage and can remain open for 20–30 years, whereas vein grafts may narrow or fail over time.
Patients with multi-vessel coronary artery disease, younger patients, diabetics, and those with a longer life expectancy are often good candidates, depending on overall health.
Commonly used arteries include:
● Left Internal Mammary Artery (LIMA)
● Right Internal Mammary Artery (RIMA)
● Radial artery (from the forearm)
● Left Internal Mammary Artery (LIMA)
● Right Internal Mammary Artery (RIMA)
● Radial artery (from the forearm)
Yes. When performed by experienced cardiac surgeons, Total Arterial CABG is safe and provides excellent long-term outcomes with lower chances of repeat procedures.
It may take slightly longer due to careful harvesting of arterial grafts, but this does not significantly affect patient safety or recovery.
Recovery is similar to standard CABG, with hospital stay of 5–7 days and full recovery in 6–12 weeks.
