What is Coronary artery bypass graft (CABG) procedure?

Coronary Artery Bypass Graft (CABG) surgery is a common procedure utilized to treat coronary artery disease (CAD), a condition where the coronary arteries become narrowed or blocked because of the buildup of plaque (fatty deposits). This can result in reduced blood flow to the heart muscle, raising the risk of heart attacks and other cardiovascular issues.

Surgery Time
4-6 HRS
Back to work
20 DAYS
Anesthetist
GENERAL
Hospitalization Time
7 DAYS
recovery time
4 WEEKS
Stay at the destination
10

Types of CABG

Coronary Artery Bypass Graft (CABG) surgery is a procedure employed to enhance blood flow to the heart by bypassing blocked coronary arteries. There are different types of CABG, which can be categorized based on the technique used, the vessels involved, and the urgency of the procedure. Here are the main types:

Traditional CABG: This includes making a large incision in the chest to access the heart. It usually needs the utilization of a heart-lung machine to take over the heart’s pumping function during the surgery.

Off-Pump CABG (OPCAB): This type of surgery is done while the heart is still beating, removing the need for the heart-lung machine. Surgeons stabilize the area of the heart where they are working.

Minimally Invasive CABG: This includes smaller incisions, usually using specialized instruments and techniques. It can involve robotic-assisted surgery.

Why choose Iran for coronary bypass surgery?

Choosing Iran for Coronary Artery Bypass Grafting (CABG) can be due to several factors, which may be attractive to patients considering medical tourism or seeking treatment options abroad. Here are some reasons why individuals might select Iran for this type of surgery:

Cost-Effectiveness: Medical procedures in Iran, including CABG, are usually considerably affordable than many countries. This can make treatment easier for patients from different backgrounds.

Quality of Care: Iran has made significant advances in its healthcare system, with many hospitals and clinics complying with international standards. Several facilities are accredited by international organizations, ensuring a certain level of quality in healthcare services.

Skilled Surgeons: Iranian cardiothoracic surgeons are often well-trained and experienced, with many having received education and training in top countries. This reputation can provide patients with confidence in the surgical care they will receive.

Modern Medical Facilities: Many hospitals in Iran are equipped with modern medical technology and offer advanced facilities for cardiac surgeries, contributing to better patient outcomes.

Medical Tourism Infrastructure: Iran has developed a powerful medical tourism industry, providing support services for international patients, including visa assistance, accommodation, and transportation, making the overall experience more convenient.

Customized Care: Patients may take advantage of a more customized approach in Iran, with a focus on individual patient needs and preferences during the surgery.

Are you looking for a reliable and reputable Iranian medical tourism agency? No more search is needed. EasyMedTrip is all you need. You can easily perform coronary artery bypass grafting surgery in Iran with the help of EasyMedTrip. We provide you with the most advanced medical facilities and the most experienced surgeons at very reasonable prices.

Preparing for CABG surgery

Preparing for Coronary Artery Bypass Grafting (CABG) surgery includes several crucial steps to ensure a successful procedure and recovery. You need to follow these instructions:
1. Preoperative Evaluation
Medical Assessment: Your healthcare provider will conduct a comprehensive evaluation, including a physical examination, medical history, and diagnostic tests (e.g., blood tests, chest X-ray, ECG, echocardiogram).
Cardiac Evaluation: Additional tests such as a stress test or coronary angiography may be done to evaluate heart function.
2. Medications
Review Medications: Inform your doctor of all medications you are currently taking. You may need to stop certain medications, particularly blood thinners, before surgery.
Prescriptions: Your doctor may prescribe medications to control symptoms or prepare your heart for surgery.
3. Lifestyle Modifications
Diet: Adopt a heart-healthy diet leading up to the surgery. Restrict salt, sugar, and unhealthy fats. Concentrate on fruits, vegetables, whole grains, and lean proteins.
Exercise: If cleared by your doctor, begin light physical activity to enhance your overall fitness. However, avoid strenuous exercise as surgery approaches.
Smoking Cessation: If you smoke, try to quit. Smoking increases the risk of complications.
4. Emotional and Psychological Preparation
Education: Learn about the procedure, recovery process, and potential complications. This knowledge can minimize anxiety.
Support System: Inform family and friends about your surgery. Having support can be helpful during recovery.
5. Logistics and Arrangements
Surgery Date: Finalize the surgery date and time with your healthcare team.
Transportation: Arrange for transportation to and from the hospital, since you may not be able to drive post-surgery.
Postoperative Care: Prepare your home for recovery. This may involve setting up a comfortable resting area and ensuring easy access to necessities.
6. Preoperative Instructions
Fasting: Follow your doctor’s instructions with regard to fasting before surgery. Usually, you will be told not to eat or drink anything after midnight before the procedure.
Hygiene: You may be requested to shower with an antibacterial soap the night before or the morning of surgery.
7. Day of Surgery
Arrival: Arrive at the hospital according to the scheduled time. Bring your identification, insurance information, and a list of medications.

Bypass surgery risks

Coronary Artery Bypass Grafting (CABG) surgery, while a common and usually life-saving procedure for patients with serious coronary artery disease, carries certain risks and potential complications. These can differ based on individual patient conditions like age, overall health, and the presence of other medical conditions. Serious risks associated with CABG include:

Infection: There is a risk of infection at the surgical site, especially if veins or arteries are harvested from the legs or chest.

Bleeding: Postoperative bleeding can happen, which may need additional surgery or interventions to address.

Blood Clots: The surgery increases the risk of blood clots, which can cause complications like stroke or pulmonary embolism.

Heart Rhythm Problems: Arrhythmias, or irregular heartbeats, can take place after surgery, which may require monitoring and treatment.

Heart Attack: Although CABG is done to reduce the risk of heart attacks, there is still a chance of experiencing one during or after the surgery.

Kidney Problems: Some patients may experience acute kidney injury post-surgery, particularly those with pre-existing kidney issues.

Cognitive Decline: Some patients experience memory problems or cognitive decline following surgery, a condition sometimes known as “postoperative cognitive dysfunction.”

Graft Failure: Over time, the grafts utilized to bypass blocked arteries can become narrowed or blocked, which may result in a return of symptoms.

Stroke: There is a risk of stroke associated with the surgery, especially in older patients or those with other risk factors.

Anesthesia Risks: As with any surgery needing general anesthesia, there are risks associated with anesthesia itself, including allergic reactions and respiratory issues.

Prolonged Recovery Time: Recovery from CABG can take time, and some patients may experience lengthy discomfort or limitations in physical activity during the healing process.

Psychological Effects: Some patients may experience anxiety, depression, or changes in mood following surgery.

Before undergoing CABG, it is crucial for patients to discuss these risks with their healthcare provider, who can provide customized information based on their specific health situation. It’s also essential to weigh the potential advantages of the surgery against the risks involved.

Bypass surgery recovery

Recovery from Coronary Artery Bypass Grafting (CABG) surgery often includes several stages, and the timeline can be different based on the individual, their overall health, and the specifics of the surgery. Here’s a general overview of what to experience during the coronary artery bypass surgery recovery process:

Immediate Post-Operative Care (Days 1-3)

ICU Stay: After surgery, patients are typically moved to an Intensive Care Unit (ICU) for close monitoring. This period lasts for 1 to 2 days.

Monitoring: Medical staff will monitor vital signs, heart rhythm, and overall recovery. You may have tubes in place for breathing, drainage, and medications.

Pain Management: Pain and discomfort are controlled with medications, and patients are encouraged to communicate any pain they feel.

Hospital Recovery (Days 3-7)

Step Down Unit: Once stable, patients are moved from ICU to a step-down unit or a regular hospital room.

Mobility: Patients are asked to start moving and sitting up, which helps inhibit complications such as blood clots and pneumonia.

Physical Therapy: Simple exercises may be introduced to strengthen the body gradually.

Nutrition: A heart-healthy diet will usually be recommended, and fluid intake will be monitored.

Discharge (Days 5-10)

Discharge Planning: Patients are usually discharged within 5 to 10 days post-surgery, depending on recovery.

Home Care: Instructions for care at home, medication management, and follow-up appointments will be given.

Early Recovery at Home (Weeks 1-4)

Rest: It is essential to get lots of rest while gradually increasing activity levels.

Wound Care: Monitor surgical incisions for signs of infection and follow care instructions.

Limited Activities: Refrain from heavy lifting and strenuous activities. Walking and light activities are recommended.

Cost of Coronary Artery Bypass Grafting surgery

Coronary artery bypass surgery cost can vary considerably based on several factors, including the healthcare facility, the patient’s specific condition, insurance coverage, and whether the procedure is performed on an inpatient or outpatient basis.

Artery Bypass surgery in Iran

Artery bypass surgery, also known as coronary artery bypass grafting (CABG), is a surgical procedure used to treat coronary artery disease (CAD) by enhancing blood flow to the heart. In Iran, like many other countries, this procedure is done in hospitals with specialized cardiovascular departments.

Conclusion

In conclusion, CABG remains a cornerstone in the management of coronary artery disease, offering important benefits for appropriately chosen patients. Ongoing research and advancements in surgical techniques continue to improve its safety and effectiveness. Regular follow-up and dedication to heart-healthy lifestyle changes are essential for improving outcomes after surgery.

FAQ

What does the coronary artery bypass grafting surgical team include?

Coronary artery bypass grafting (CABG) is a complicated surgical procedure that needs a multidisciplinary team of healthcare professionals to ensure successful outcomes. The typical surgical team involved in CABG includes a cardiothoracic surgeon, anesthesiologist, first assistant surgeon, surgical nurses, radiologic technologist, and cardiovascular nurse.

Yes, it is possible to have coronary artery bypass grafting (CABG) more than once. This is often referred to as “reoperative” CABG or “redo” CABG. Patients may need a second CABG if they develop new blockages in other coronary arteries or if grafts from the first surgery become blocked over time.

The length of stay in the Intensive Care Unit (ICU) after coronary artery bypass grafting (CABG) depends on several factors, including the patient’s overall health, any complications that may arise, and the specific protocols of the hospital. In general, patients may stay in the ICU for 1 to 2 days after the surgery.

The length of stay in Iran for heart surgery is dependent on several factors, including the type of surgery, the patient’s overall health, the specifics of the medical facility, and the recovery process. Generally, you should stay between 4 to 6 weeks.

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