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Thorac Cardiovasc Surg
DOI: 10.1055/a-2673-2209
Review Article

Coronary Artery Bypass Surgery in Patients with STEMI or NSTEMI

Alexander Assmann 
1   Department of Cardiac Surgery, Heinrich Heine University, Medical Faculty, Duesseldorf, Germany
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Abstract

Coronary artery disease patients suffering from ST-elevation myocardial infarction (STEMI) or non-STEMI (NSTEMI) require rapid decision on invasive therapy relying on state-of-the-art concepts. This article provides evidence-based recommendations on the choice between, or the combination of, the mechanistically different options, coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI)—with a special focus on multivessel disease patients. Furthermore, strategies of modern CABG in STEMI and NSTEMI patients are presented.

Keywords

Coronary artery bypass grafting (CABG) - off-pump coronary artery bypass grafting (OPCAB) - minimally invasive coronary bypass surgery (MICS-CABG) - microaxial pump-protected CABG (MPCAB) - percutaneous coronary intervention (PCI) - ST-elevation myocardial infarction (STEMI) - non-ST-elevation myocardial infarction (NSTEMI)

Note

The article is a part of the review article collection “The Power of Coronary Artery Bypass Surgery” organized by the Working Group for Coronary Artery Disease of the GSTCVS.




Publication History

Received: 28 April 2025

Accepted: 30 July 2025

Article published online:
14 August 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

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