CABG Vs PCI

Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1of 10

CABG vs PCI

Melisa
PCI
• Indikasiklinis :
• Acute ST Elevation myocardial infarction (STEMI)
• NSTE-ACS
• Stable angina
• Anginal equivalent (contoh : dyspnea, arrhythmia, atau dizziness atau syncope
• Asimtomatikatausimtomringandenganadanyabuktiobyektif area sedangsampailuas myocardium yang
viable ATAU iskemiasedangatauberatpada test non invasive

• Indikasiangiografi : adanyalesipadapembuluh yang mensuplai viable myocardium ( diameter > 1.5 mm)

MedscapeReference. Coronary Artery Revascularization.


PCI
• Kontraindikasiklinis : adanyakondisikomorbid
• Kontraindikasiangiografi :
• Stenosis cabangutamakiripadapasienkandidatpembedahan
• Diffusely diseased small-caliber artery or vein graft
• Kelainananatomi coroner lain yang tidaklayak PCI

MedscapeReference. Coronary Artery Revascularization.


CABG (Coronary Artery Bypass
Grafting)
• Dilakukanpadapasiendenganpenyakitjantung coroner
untukmeningkatkankualitashidupdanmengurangimortalitas yang terkaitdengan cardiac.
• Indikasi Class I :
• Left main coronary artery stenosis >50%
• Stenosis of proximal LAD and proximal circumflex >70%
• 3 vessel disease in asymptomatic patiens or those with mild or stable angina
• 3 vessel disease with proximal LAD stenosis in patientswith poor left ventricular function
• 1 or 2 vessel disease and a large area of viable myocardium in high-risk area in patients with stable angina
• >70% proximal LAD stenosis with either ejection fraction <50% or demonstrable ischemia on non invasive
testing

MedscapeReference. Coronary Artery Bypass Surgery.


• Indikasilain CABG :
• > 50% stenosis left main stem
• > 50% stenosis proximal left anterior interventricular artery
• 2 atau 3 arterikoronerutamaterkena (‘triple vessel disease’)
• Fungsiventrikel yang burukakibar multi-vessel disease

Bailey & Love’s. Short Practice of Surgery. 26th ed. 2013.


CABG
• Kontraindikasi :
• Pasienresikorendahmiokard infarct
• Padapasienlanjutusi

MedscapeReference. Coronary Artery Bypass Surgery.


www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
TerimaKasih

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy