How to build a multi-arterial coronary artery bypass programme: a stepwise approach
How to build a multi-arterial coronary artery bypass programme: a stepwise approach
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DOI：
10.1093/ejcts/ezaa377
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发表时间：
2020-12-01
影响因子：
3.4
通讯作者：
Fremes, Stephen E.
中科院分区：
文献类型：
--
作者：
Gaudino, Mario F. L.;Sandner, Sigrid;Fremes, Stephen E.
观察证据表明，多动脉移植（MAG）的使用与更长的术后生存期和改善的临床结果相关。目前的欧洲心脏病学会/欧洲心胸外科协会心肌血运重建术指南推荐在适当的患者中使用MAG。然而，MAG的数量与结果存在显著的关系，缺乏足够的经验与手术风险增加有关。逐步建立MAG经验的方法可以使这项技术成功地应用于常规冠状动脉手术实践。
Observational evidence shows that the use of multiple arterial grafts (MAG) is associated with longer postoperative survival and improved clinical outcomes. The current European Society of Cardiology/European Association for Cardio-Thoracic Surgery Guidelines on myocardial revascularization recommend the use of MAG in appropriate patients. However, a significant volume-to-outcome relationship exists for MAG, and lack of sufficient experience is associated with increased operative risk. A stepwise approach to building experience with MAG allows successful implementation of this technique into routine coronary surgery practice.