Current status of arterial grafts for coronary artery bypass grafting
Current status of arterial grafts for coronary artery bypass grafting
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DOI：
10.3978/j.issn.2225-319x.2013.07.21
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发表时间：
2013-07-01
影响因子：
3.1
通讯作者：
Taggart, David P.
中科院分区：
文献类型：
--
作者：
Taggart, David P.
十多年来，越来越多的证据表明，在冠状动脉旁路移植术中使用不止一个动脉移植物可以改善临床结局。然而，在大多数发达国家，即使存在多支冠状动脉疾病，绝大多数患者仍然只接受单支动脉导管。本综述总结了目前使用第二乳内动脉和/或桡动脉移植物的证据。虽然与静脉移植物相比，乳内动脉移植物的通畅性上级已经得到了很好的证实，但现在有强有力的一致证据表明桡动脉在长期内的通畅性上级。同样，有越来越多的证据表明，与静脉移植物相比，这两种动脉的上级通畅性转化为改善的临床结局。
For over a decade there has been accumulating evidence that the use of more than a single arterial graft during coronary artery bypass grafting can improve clinical outcomes. However the vast majority of patients in most developed countries still only receive a single arterial conduit even in the presence of multivessel coronary artery disease. This review summarizes the current evidence for the use of a second internal mammary artery and/or radial artery graft. While in comparison to vein grafts the superior patency of internal mammary artery grafts is well established, there now exists strong and consistent evidence of the superior patency of radial arteries over the longer term. Likewise, there is a rapidly growing body of evidence that the superior patency of both these arteries in comparison to vein grafts translates into improved clinical outcomes.