CABG
Pronunciation: CAB-bage
Also written as: CABG — Coronary Artery Bypass Grafting
Coronary artery bypass grafting, surgical revascularization preferred for diabetic patients with complex multivessel coronary disease. Often compared to PCI in treatment decisions.
Full Definition
Coronary artery bypass grafting (CABG) is a surgical procedure that creates alternate pathways (bypasses) around blocked or narrowed coronary arteries using grafts from other blood vessels in the patient's body. In cardiometabolic medicine, CABG holds particular significance for patients with diabetes and multivessel coronary disease, as multiple randomized trials have demonstrated superior long-term outcomes compared to percutaneous coronary intervention (PCI). The FREEDOM trial specifically showed mortality benefit of CABG over PCI in diabetic patients with multivessel disease. CABG is especially preferred in diabetic patients with left main disease, three-vessel disease, or complex lesion anatomy.
Usage
Usage note: Pronounce as one word 'cabbage'; preferred over PCI for diabetic multivessel disease.
In Context
- "CABG was recommended over PCI given the patient's diabetes and three-vessel disease." — Heart team decision
- "Post-CABG glucose management requires careful attention to avoid surgical site complications." — Perioperative protocol