桡动脉在冠状动脉旁路移植术中应用的研究进展

Progress on the Use of Radial Artery for Coronary Artery Bypass Grafting

冠状动脉旁路移植术(CABG)是成人心脏外科最常见的手术之一。选择合适的血管材料是保证CABG术后患者临床疗效的关键因素之一。近年来,越来越多的临床研究证据表明,桡动脉作为桥血管相对于大隐静脉可改善CABG患者的预后,最新的临床指南也提升了对桡动脉的推荐级别,但在临床实践中,桡动脉在CABG患者中的使用率仍偏低。本文系统总结了桡动脉组织与功能学特点,并对比了桡动脉和其他桥血管的使用效果,以期引起临床医师对桡动脉在CABG临床使用中的重视。

Coronary artery bypass grafting(CABG)is one of the most commonly performed procedures in adult cardiac surgery.Selecting appropriate graft materials is one of the key factors to ensure the clinical benefits brought by CABG.In recent years,increasing evidence has shown that the use of radial artery grafts can improve patient outcomes compared to the use of saphenous vein grafts,and the latest guideline has also raised the recommendation level of radial artery grafts.However,in clinical practice,the utilization rate of radial artery grafts is still relatively low.In this review,we systematically summarized the histological and functional characteristics of radial artery and compared its effectiveness with other grafts.We hope this review will draw surgeons'attention towards the importance and benefits of using radial artery grafts in CABG.