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.
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