冠状动脉旁路移植术后再次血运重建策略中国专家共识(2022版)

2022 Chinese expert consensus on the strategies for revascularization after coronary artery bypass grafting

随着冠状动脉旁路移植术的发展,冠状动脉旁路移植术手术例数不断增长,且需要再次血运重建患者数量也不断增多并引起关注。冠状动脉旁路移植术后桥血管及自然冠状动脉粥样硬化进展迅速,其复杂程度也高于未接受冠状动脉旁路移植术的患者。目前冠状动脉旁路移植术后再次血运重建策略具有挑战性,需要心脏团队共同制订,而且缺乏循证依据。因此本共识编写专家组结合近几年国内外指南共识、循证医学证据及临床实践经验编写了《冠状动脉旁路移植术后再次血运重建策略中国专家共识(2022版)》以供临床参考,推动冠心病治疗水平的提高。

With the development of coronary artery bypass grafting(CABG),the number of patients undergoing CABG is on the rise,and thus the number of patients requiring revascularization after CABG is also increasing,which draws considerable attention.Atherosclerosis of both bypass grafts and native coronary arteries progresses rapidly in patients undergoing CABG,and coronary lesions are more complex than in non-CABG patients.At present,the strategies for revascularization after CABG are still controversial.Therefore,based on the domestic and foreign guidelines and consensus,evidence-based evidence,and clinical practice experience in recent years,the expert panel has compiled the 2022 Chinese expert consensus on the strategies for revascularization after coronary artery bypass grafting to promote the development of coronary artery disease treatment.