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全动脉冠状动脉旁路移植术的临床应用现状与策略

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自冠状动脉旁路移植手术问世以来,移植血管材料的选择一直是领域内最具争议性的话题之一,其中动脉桥血管由于优良的生物学特性和高通畅率受到广泛关注.近年来,我国动脉桥及全动脉桥应用比例有所提高,但与欧美国家仍有一定差距.既往多项临床研究肯定了全动脉桥在桥通畅率和远期预后方面的优势,但这一结论仍有待高质量随机对照临床试验验证.本文综述全动脉桥冠状动脉旁路移植术的临床应用现状与策略,为后续临床研究和诊疗提供参考.
Clinical application and strategy of total-arterial coronary artery bypass grafting
Since the advent of coronary artery bypass grafting(CABG),the selection of bypass conduits has always been one of the most controversial topics in this field.Arterial conduits have received extensive attention due to their excellent biological features and high patency.In recent years,the application of arterial grafting and total arterial grafting in China keeps increasing in recent years,but there is still a gap compared to the Europe and America.Previous clinical studies have indicated the benefits of the total arterial grafting in terms of patency and long-term outcomes,but the advantage of multiple arterial grafting over other procedures is still in need to be confirmed with high-quality randomized controlled trials.This article reviews the clinical application and strategy of total-arterial CABG,aiming to provide objective reference for future clinical research and application.

Coronary artery bypass graftingtotal arterial graftsinternal mammary arteryreview

韩家炜、张恒、郑哲

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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)

国家心血管病中心中国医学科学院北京协和医学院阜外医院心血管外科(北京 100037)

冠状动脉旁路移植术 全动脉桥 乳内动脉 综述

国家自然科学基金青年科学基金项目国家心血管疾病临床医学研究中心自主课题

82100363NCRC2020004

2024

中国胸心血管外科临床杂志
四川大学华西医院

中国胸心血管外科临床杂志

CSTPCD北大核心
影响因子:0.846
ISSN:1007-4848
年,卷(期):2024.31(2)
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