Indications for coronary artery bypass grafting in the DES era

Several treatments for coronary artery disease have been developed. Current techniques for both coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) have improved the outcomes after procedures. However, patients referred for CABG have been changing because of the recent advancement of PCI. The number of patients referred for CABG has decreased; furthermore, those patients have significant comorbid conditions and multiple severe coronary artery disease. Several randomized controlled clinical trials demonstrated the superiority of CABG regarding major adverse cardiac and cerebral events to PCI. The selection of these two invasive therapies including hybrid approach should be done by both patients' clinical condition and anatomical characteristics of coronary artery.