Coronary disease & ACSGuideline or statement

Antithrombotic therapy after coronary artery bypass graft surgery: a Clinical Consensus Statement of the ESC Working Group on Cardiovascular Surgery, the ESC Working Group on Cardiovascular Pharmacotherapy, and the European Association for Cardio-Thoracic Surgery (EACTS)

Eur Heart JPublished

  • Clinical consensus statement

Recommendations

As issued by the authors

  1. Antithrombotic therapy is essential after CABG to reduce ischaemic events and prevent graft occlusion

  2. In higher-risk patients, DAPT or antiplatelet therapy combined with OAC may be beneficial, but increases bleeding risk

  3. Choice of antithrombotic therapy tailored to each patient's ischaemic and bleeding risks and regularly reassessed

Original publication

Antithrombotic therapy after coronary artery bypass graft surgery: a Clinical Consensus Statement of the ESC Working Group on Cardiovascular Surgery, the ESC Working Group on Cardiovascular Pharmacotherapy, and the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. Published 30 August 2025. doi:10.1093/eurheartj/ehaf423

Summarised from the published abstract; every number is checked against it