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The history of arterial revascularization: from Kolesov to Tector and beyond

Brian F Buxton1, Sean D Galvin

  • 1Department of Cardiac Surgery, The Austin Hospital, Heidelberg, Victoria, Australia; ; Epworth Research Institute, Epworth Hospital, Melbourne, Victoria, Australia; ; University of Melbourne, Melbourne, Victoria, Australia.

Annals of Cardiothoracic Surgery
|August 27, 2013
PubMed

Insights

Coronary artery bypass grafting (CABG) offers effective revascularization for coronary artery disease. This review highlights the evolution of arterial grafting techniques in CABG, emphasizing historical developments and pioneers.

Area of Science:

  • Cardiovascular Surgery
  • Medical History
  • Vascular Grafting

Background:

  • Coronary artery bypass grafting (CABG) is a primary revascularization strategy for obstructive coronary artery disease.
  • Total arterial revascularization, utilizing internal thoracic and radial arteries, enhances early outcomes and reduces long-term cardiovascular morbidity.
  • Despite CABG's commonality, significant surgeon-specific variations in grafting strategies persist.

Purpose of the Study:

  • To review the historical development of Coronary Artery Bypass Grafting (CABG).
  • To emphasize the contributions of early pioneers in CABG procedures.
  • To detail the evolution of arterial grafting techniques within CABG.

Main Methods:

  • Historical literature review.
  • Analysis of seminal publications and surgical innovations.
  • Chronological examination of grafting strategies.

Main Results:

  • CABG has transformed from an experimental procedure to a widely performed surgery.
  • The use of arterial grafts, particularly internal thoracic and radial arteries, has evolved significantly.
  • Early pioneers laid the groundwork for modern CABG techniques.

Conclusions:

  • The history of CABG is marked by continuous innovation in surgical techniques.
  • Arterial grafting represents a key advancement in improving CABG efficacy and patient outcomes.
  • Understanding the evolution of CABG provides context for current surgical practice variations.

Keywords:
Coronary artery disease (CAD)coronary artery bypass surgeryinternal mammary arteryradial artery (RA)total arterial graft

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