Level A Evidence
4 Treatment Options Available

Coronary Artery Disease

CABG & PCI: Advanced Coronary Revascularization

Coronary artery disease is the leading cause of death globally. When medications and lifestyle changes are insufficient, revascularization becomes necessary. Our partner cardiac centers perform thousands of CABG procedures annually with excellent outcomes, offering both conventional on-pump and advanced off-pump (beating heart) techniques, as well as minimally invasive direct coronary artery bypass (MIDCAB).

Condition Overview

Conditions We Treat

Triple-Vessel DiseaseLeft Main DiseasePost-MI ComplicationsFailed PCIChronic Total Occlusion

Core Technologies

Off-pump CABG (OPCAB) | Total arterial revascularization | MIDCAB | Complex PCI with IVUS/FFR | Hybrid coronary revascularization

ผู้สมัครที่เหมาะสม

  • •Triple-vessel disease requiring CABG
  • •Left main coronary artery disease
  • •Failed previous PCI/stent
  • •Chronic total occlusion (CTO)
  • •Need for total arterial grafting

High-volume cardiac surgery centers with >2,000 CABG/year

พิจารณาทางเลือกในประเทศ

  • •Single or double vessel disease amenable to PCI
  • •Stable angina on medical therapy
  • •Routine stent placement without complications
  • •Cases with experienced local interventional cardiologist

Straightforward cases with good local cardiac team

Evidence: Partner centers >2,000 CABG/year; 98% graft patency at 1 year; <1% operative mortality for elective CABG; 95% 5-year survival.

Treatment Options

Coronary Artery Bypass Grafting (CABG)

ศัลยกรรม
เหมาะสำหรับ:Multi-vessel disease, left main disease, failed PCI
เทคโนโลยี:Off-pump (beating heart), total arterial grafting (ITA, RA)
ข้อดี:Durable revascularization, symptom relief, improved survival
7-10 daysFrom $12,000
>2,000 CABG/year at top centers

Minimally Invasive CABG (MIDCAB)

ศัลยกรรม
เหมาะสำหรับ:Single or double vessel disease, LAD lesion
เทคโนโลยี:Small thoracotomy incision, no sternotomy, beating heart
ข้อดี:Less pain, faster recovery, no sternal wound
5-7 daysFrom $10,000
Specialized minimally invasive centers

Percutaneous Coronary Intervention (PCI)

การผ่าตัดสอดแทรก
เหมาะสำหรับ:Single or multi-vessel disease amenable to stenting
เทคโนโลยี:Drug-eluting stents, IVUS/FFR guidance, rotational atherectomy
ข้อดี:Minimally invasive, quick recovery, 1-day stay
1-2 daysFrom $3,000
High-volume cardiac catheterization labs

Hybrid Coronary Revascularization

การผ่าตัดสอดแทรก
เหมาะสำหรับ:Complex multi-vessel disease
เทคโนโลยี:MIDCAB for LAD + PCI for other vessels
ข้อดี:Combines benefits of surgery and intervention
3-5 daysFrom $15,000
Hybrid OR equipped centers

คู่มือและบทความที่เกี่ยวข้อง

Heart bypass surgery cost: China vs USHeart transplantation: techniques and outcomesCancer treatment in China: complete guide for international patients

การเปรียบเทียบค่าใช้จ่าย

CABG (Coronary Artery Bypass Grafting)

US Hospital$110,000
UK Private$85,000
MediLink China$15,000

Save 86% vs US • Includes: surgery, 7-10 day hospital stay, standard post-op care

คำนวณต้นทุน

ขั้นตอนการรักษา

1
Pre-operative Evaluation• Week 1
  • Coronary angiography with FFR if needed
  • Cardiac CT for surgical planning
  • Complete cardiac workup (echo, stress test)
  • Optimization of medical therapy
2
Surgery & Recovery• Week 2
  • CABG surgery (on-pump or off-pump)
  • ICU monitoring (24-48 hours)
  • Early mobilization and rehabilitation
  • Discharge preparation and education
3
Cardiac Rehabilitation• Months 1-6
  • Structured exercise program
  • Risk factor modification
  • Medication optimization
  • Regular follow-up with cardiologist

Clinical Outcomes

Operative Mortality
<1%
elective CABG
10-Year Graft Patency
>90%
arterial grafts
5-Year Survival
95%
elective patients
Angina Relief
90%+
symptom free

คำถามที่พบบ่อย

What is the difference between on-pump and off-pump CABG?
On-pump CABG uses a heart-lung machine to stop the heart during surgery. Off-pump CABG (OPCAB) is performed on a beating heart without the machine, potentially reducing complications like stroke and kidney injury. Both have excellent outcomes in experienced hands.
How long do bypass grafts last?
Internal thoracic artery (ITA) grafts have >90% patency at 10 years. Vein grafts have 50-60% patency at 10 years. Total arterial revascularization (using only arteries) provides the best long-term results.
Can I have CABG after previous stents?
Yes. Many patients require CABG after previous PCI, especially if stents fail or disease progresses. Previous stenting does not prevent successful CABG, though timing of surgery after stent placement needs careful consideration.
When can I return to work after CABG?
Desk work: typically 4-6 weeks. Physical work: 8-12 weeks. Full cardiac rehabilitation takes 3 months. Individual recovery varies based on age and overall health.

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