In this video, Dr. Viveka Kumar, Senior Director - Cath Lab, Max Super Speciality Hospital, Saket, will discuss the role of CABG in acute MI, in this video. Bypass surgery has a high mortality whereas thrombolysis and primary PCI have shown to decrease the mortality. If the patient has a bad anatomy and the lesions are calcified then these are certain situations when the patients can undergo bypass surgery. He will explain that if the patient is taken for bypass surgery within 6 hours of MI, then the mortality is low. If the patient is taken for the surgery after 6 hours to 48 hours then the mortality is as high as 50%. Bypass surgery is only recommended when primary PCI is not feasible.
Dr. Viveka Kumar is a Senior Consultant Interventional Cardiologist and Director of the Cath Lab at Max Super Speciality Hospital in Saket, New Delhi. He completed his MBBS and MD (Medicine) from IMS (BHU), Varanasi and later obtained the DM (Cardiology) postdoc, superspeciality degree through GSVM Medical College, Kanpur. Has extensive experience in the field of Cardiac interventions and Electrophysiology. Specializes in complex angioplasties including multivessel, bifurication and left main angioplasties with Rota Ablation, FFR, IVUS, IABP, IMPELLA devices. Has done more than 7500 angioplasties and 2500 balloon valvotomies with good outcomes.