全动脉冠状动脉旁路移植术的临床应用现状与策略

Clinical application and strategy of total-arterial coronary artery bypass grafting

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。

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.