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long-term outcome depends on risk-factor control, medication adherence and disease progression.","revision_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Repeat revascularization within 10 years; higher with diabetes and vein grafts."},"scars":"Midline vertical chest scar over the sternum, plus a scar along the leg or forearm if a vein or radial artery is harvested; scars fade over months but can become hypertrophic.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation during one hospital admission."},"stages":[{"code":"cabg_operation","label":"Coronary artery bypass grafting operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Standard isolated CABG is a single-stage operation."},"success":{"metric":"Freedom from major adverse cardiac and cerebrovascular events","value":75,"unit":"percent of patients","horizon":"5 years","population":"Adults with multivessel or left main coronary disease after isolated CABG","evidence_status":"limited"},"techniques":[{"name":"On-pump CABG via median sternotomy","suits_whom":"Most patients with multivessel or left main disease.","recovery":"Hospital stay of about 5-9 days; sternal precautions for 6-12 weeks."},{"name":"Off-pump CABG (OPCAB)","suits_whom":"Selected patients, e.g., with severe aortic calcification, at experienced centers.","recovery":"Broadly similar to on-pump, with possibly less blood loss and fewer pump-related effects."},{"name":"Minimally invasive direct CABG (MIDCAB)","suits_whom":"Selected patients needing a single left internal mammary artery graft to the LAD.","recovery":"Smaller incision, often shorter recovery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for standard isolated on-pump CABG with a few grafts, excluding anesthesia preparation and ICU stay."},"initial_assessment_documents":["Coronary angiography report and images","Echocardiogram report","Recent ECG","Stress test report (if available)","Cardiac MRI report (if available)","List of blood thinners and heart medications"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; total stay about 10-17 days including pre-op testing and flight clearance. Follow-up at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check whether the facility holds accreditation; some facilities abroad might lack it","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Confirm how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that you can put your treatment questions to the treating team","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Treatment advice comes from a sales team member or travel agent, not a clinician","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/medical-tourism-travelling-for-treatment","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The clinic or hospital does not offer a written contract","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/medical-tourism-travelling-for-treatment","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"You cannot ask the treating clinicians your questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Chest pain or pressure","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"You have chest pain or pressure/angina.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Very fast heartbeat, especially with breathlessness","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"Your heart is beating very fast (more than 150 beats per minute), especially if you are short of breath.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Irregular heartbeat or skipped beats","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"You feel an irregular heart beat - fluttering feeling in your chest or skipped beats.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Incision red, swollen, warm, or opening up","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/hvti-resources/who-to-call-after-surgery","host":"my.clevelandclinic.org","quote":"Your incision is red, feels warm to the touch, is swollen or starts to open.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W5","text":"Clicking sound in the 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hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge 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(MIDCAB)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=india/city=deli/procedure=aortokoronarnoe-shuntirovanie/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":1},"manualSeo":[],"updatedAt":"2026-11-09T16:00:10.233Z","activeCountries":["IN","TR","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}