ANALYSIS OF APPROACHES AND RESULTS IN MYOCARDIAL REVASCULARIZATION SURGERY: AN INTEGRATIVE REVIEW

• DOI: 10.22533/at.ed.1593702304093

• Palavras-chave: thoracic surgery, coronary artery disease, percutaneous coronary intervention, quality of life.

• Keywords: thoracic surgery, coronary artery disease, percutaneous coronary intervention, quality of life.

• Abstract:

  The integrative review aims to evaluate and compare the approaches of Myocardial Revascularization Surgery (CABG) and their clinical results, focusing on surgical and percutaneous techniques. The article search was conducted in PubMed and Scopus electronic databases, covering the period from 2018 to 2023. Studies were selected that investigated the comparison between CRM approaches in relation to graft patency, clinical outcomes, complications, and trends observed over time. over time. Ten relevant studies were identified and analyzed. The current literature highlights the importance of considering factors such as the longevity of results, the patient's profile and the characteristics of the coronary lesion when choosing between surgical and percutaneous techniques. Graft patency was variable between approaches, with studies reporting different success rates at different follow-up periods. Furthermore, a trend towards favorable results was observed with the use of hybrid revascularization techniques. This integrative review presents a comprehensive analysis of coronary artery bypass grafting approaches, highlighting the differences and similarities between surgical and percutaneous techniques in relation to clinical outcomes. Selection of the most appropriate approach must be based on an individualized assessment of patients, considering their clinical characteristics and available evidence.