Seminars in Thoracic and Cardiovascular Surgery
Volume 21, Issue 3 , Pages 196-198, Autumn 2009

Coronary Revascularization—2009: State of the Art

  • David P. Taggart, MD, PhD, FRCS

      Affiliations

    • Corresponding Author InformationAddress reprint requests to David P. Taggart, MD, PhD, FRCS, John Radcliffe Hospital, Oxford Heart Centre, Oxford OX3 9DU, UK

John Radcliffe Hospital, Oxford, UK

Despite advances in percutaneous coronary intervention, coronary artery bypass grafting remains the most effective intervention for complex coronary artery disease in survival, freedom from reintervention, and cost-effectiveness. To ensure that patients have access to this “gold-standard” treatment, a multidisciplinary team approach, rather than an individual cardiologist acting as a “gatekeeper,” should be the standard of care when intervention is necessary, to ensure transparency, real patient choice, and genuine informed consent.

Keywords: coronary artery bypass grafting, cost-effectiveness, multidisciplinary team, percutaneous coronary intervention, reintervention, survival, syntax

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 Dr. Taggart has received speaking fees and is an advisor to Medtronic.

PII: S1043-0679(09)00087-2

doi:10.1053/j.semtcvs.2009.08.003

Seminars in Thoracic and Cardiovascular Surgery
Volume 21, Issue 3 , Pages 196-198, Autumn 2009

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