Total Arterial Bypass (CABG)

Overview

Total Arterial Bypass involves performing Coronary Artery Bypass Grafting (CABG) using only arterial grafts — typically the internal mammary arteries and the radial artery — instead of veins. Arterial grafts have superior long-term patency, reducing the risk of repeat interventions.

Who Benefits?

  • Younger patients with long life expectancy

  • Those with diabetes or multiple artery blockages

  • Patients requiring multiple grafts

Advantages Over Traditional CABG

  • Better long-term graft survival

  • Lower risk of recurrent angina

  • Reduced need for repeat surgeries or stenting

Symptoms Leading to CABG

  • Persistent or worsening angina

  • Blocked arteries not suitable for stenting

  • History of heart attack with poor blood flow

  • Decreased left ventricular function

Procedure

  • Arteries harvested from chest and arm

  • Bypass constructed around blocked coronary arteries

  • Performed via open-heart or minimally invasive techniques

Recovery

  • ICU stay followed by monitored recovery

  • Pain management and early ambulation

  • Cardiac rehabilitation and lifestyle counseling

Conclusion

Total Arterial Bypass offers durable, long-lasting relief from coronary artery disease and is especially effective in younger, active patients. It’s a gold-standard option in advanced cardiac care.

About Dr. Pranav Mali

Dr. Pranav Mali’s academic pursuits led him to Government Medical College, Nagpur, where he earned his M.B.B.S. Subsequently, he pursued further specialization, attaining M.S. in General Surgery and M.Ch. in Cardiothoracic and Vascular Surgery from the esteemed KEM Hospital and Seth GS Medical College in Mumbai, renowned as one of India’s premier institutions.