The state of the art for arterial coronary artery bypass grafting
10.3760/cma.j.cn112139-20200131-00050
- VernacularTitle:动脉化冠状动脉旁路移植术的应用现状
- Author:
Qiang ZHAO
1
;
Yi YANG
;
Yunpeng ZHU
Author Information
1. 上海交通大学医学院附属瑞金医院心脏外科 200025
- Keywords:
Coronary artery disease;
Coronary artery bypass grafting;
Artery
- From:
Chinese Journal of Surgery
2020;58(5):337-340
- CountryChina
- Language:Chinese
-
Abstract:
The selection of conduit has always been one of the most perennially debated topic in the field of coronary artery bypass grafting (CABG) . Arterial grafts have demonstrated excellent biological characteristics and long-term patency in CABG. Clinical observations and randomized clinical trials over the past two decades have shown that the internal thoracic artery is the gold standard graft. Multi-arterial and total-arterial CABG significantly improves patients′ long-term survival, but there are technical challenges and concerns of sternal complication. Currently multi-arterial and total-arterial CABG are strongly advocated and increasingly applied worldwide. Several guidelines have been published and updated, as well as Chinese expert consensus. Coronary surgery in China is paving anupper stage of quality improvement. Arterial coronary artery bypass grafting should be carried out more broadly in China as evidence accumulation and excellent long-term clinical results.
