Guidelines and indications for coronary artery bypass graft surgery

J. W. Kirklin, C. W. Akins, E. H. Blackstone, D. C. Booth, R. M. Califf, L. S. Cohen, R. J. Hall, F. E. Harrell, N. T. Kouchoukos, B. D. McCallister, D. C. Naftel, J. O. Parker, W. C. Sheldon, H. C. Smith, A. S. Wechsler, J. F. Williams, C. Fisch, G. A. Beller, R. W. DeSanctis

Research output: Contribution to journalReview articlepeer-review

211 Scopus citations


The Task Force Subcommittee Report describes currently appropriate techniques for the coronary bypass operation, the time-related probability of freedom from death (survival) and other unfavorable outcome events after the operation, and the risk factors for the events. Comparisons are made of outcomes after the operation with those after medical treatment and, to the extent possible, with those after coronary angioplasty, stressing the importance of risk adjustment. General indications for the coronary operation are described, but the need for indications based on patient-specific predictions and comparisons is stressed and methods for making these are presented. The proper long-term management of patients after the coronary operation is stressed. The required personnel, facilities and case loads for optimal care are described, the costs and charges for these are discussed and some of the medical aspects of health care policy relative to the coronary operation are presented.

Original languageEnglish
Pages (from-to)543-589
Number of pages47
JournalJournal of the American College of Cardiology
Issue number3
StatePublished - 1991

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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