o:3191 Current practice of state-of-the-art surgical coronary revascularization en ABSTRACT: Coronary artery bypass grafting remains one of the most commonly performed major surgeries, with well-established symptomatic and prognostic benefits in patients with multivessel and left main coronary artery disease. This review summarizes current indications, contemporary practice, and outcomes of coronary artery bypass grafting. Despite an increasingly higher-risk profile of patients, outcomes have significantly improved over time, with significant reductions in operative mortality and perioperative complications. Five- and 10-year survival rates are ≈85% to 95% and 75%, respectively. A number of technical advances could further improve short- and long-term outcomes after coronary artery bypass grafting. Developments in off-pump and no-touch procedures; epiaortic scanning; conduit selection, including bilateral internal mammary artery and radial artery use; intraoperative graft assessment; minimally invasive procedures, including robotic-assisted surgery; and hybrid coronary revascularization are discussed. Key words: coronary artery bypass, grafts, mammary arteries, myocardial revascularization, radial artery 91552100 128302601 1552101 1524-4539 1552099 10.1161/CIRCULATIONAHA.116.022572 2023-11-06T13:37:56.081Z 44 yes 46 Stuart Head 106199049 2017 46 David P. Taggart 46 John D. Puskas 46 Milan Milojević 106163721 0000-0003-0984-9011 2017 application/pdf 572371 https://unilib.phaidrabg.rs/o:3191 no yes 1 70 616.132.2-089::616.127-089 1552253 71A11 Circulation 14 136 1331 1345 2017