Interpretation of ESC-EACTS expert consensus on bridge vessel management during and after coronary artery bypass grafting in 2024
10.3760/cma.j.cn112434-20250606-00167
- VernacularTitle:2024年ESC-EACTS《CABG术中与术后旁路移植血管管理专家共识》解读
- Author:
Heng ZHANG
1
;
Yunpeng ZHU
;
Zhongyu JIAO
;
Yi YANG
;
Qiang ZHAO
;
Zhe ZHENG
Author Information
1. 国家心血管病中心 中国医学科学院阜外医院 国家心血管疾病临床医学研究中心 心血管疾病国家重点实验室，北京 100037
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass grafting;
Internal thoracic artery;
Radial artery;
Great saphenous vein;
Harvesting technique;
Vasospasm;
Graft failure
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2025;41(9):530-543
- CountryChina
- Language:Chinese
-
Abstract:
Coronary artery bypass grafting(CABG) remains a cornerstone treatment for complex coronary artery disease, with long-term graft patency being essential for clinical success. In 2024, the European Society of Cardiology(ESC) and the European Association for Cardio-Thoracic Surgery(EACTS) jointly released an expert consensus document on the intraoperative and postoperative management of CABG grafts. This article provides a comprehensive Chinese translation and interpretation of the consensus, covering key topics including graft harvesting techniques(such as skeletonized vs. pedicled, endoscopic vs. open harvesting), optimal preservation solutions, mechanisms and prevention of graft spasm, and secondary prevention strategies involving antithrombotic and lipid-lowering therapies. Additionally, based on the current situation of clinical practice in China and the characteristics of the Chinese population, the article discussed some key issues in depth, put forward adaptive suggestions, and pointed out the future research direction. The translated consensus and accompanying commentary aim to facilitate the dissemination and application of ESC-endorsed recommendations in Chinese clinical settings, promoting more standardized and evidence-based graft management in CABG surgery.
