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

适宜人群

•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

建议在本地考虑

•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)

手术

适合：Multi-vessel disease, left main disease, failed PCI

技术：Off-pump (beating heart), total arterial grafting (ITA, RA)

优势：Durable revascularization, symptom relief, improved survival

7-10 daysFrom $12,000

>2,000 CABG/year at top centers

Minimally Invasive CABG (MIDCAB)

手术

适合：Single or double vessel disease, LAD lesion

技术：Small thoracotomy incision, no sternotomy, beating heart

优势：Less pain, faster recovery, no sternal wound

5-7 daysFrom $10,000

Specialized minimally invasive centers

Percutaneous Coronary Intervention (PCI)

介入

适合：Single or multi-vessel disease amenable to stenting

技术：Drug-eluting stents, IVUS/FFR guidance, rotational atherectomy

优势：Minimally invasive, quick recovery, 1-day stay

1-2 daysFrom $3,000

High-volume cardiac catheterization labs

Hybrid Coronary Revascularization

介入

适合：Complex multi-vessel disease

技术：MIDCAB for LAD + PCI for other vessels

优势：Combines benefits of surgery and intervention

3-5 daysFrom $15,000

Hybrid OR equipped centers

费用对比

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

计算费用

治疗流程

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

Surgery & Recovery• Week 2

CABG surgery (on-pump or off-pump)
ICU monitoring (24-48 hours)
Early mobilization and rehabilitation
Discharge preparation and education

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

常见问题

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.