Fukui Toshihiro, Takanashi Shuichiro
Department of Cardiovascular Surgery, Sakakibara Heart Institute.
Nihon Rinsho. 2011 Feb;69(2):259-64.
Several treatments for coronary artery disease have been developed. Current techniques for both coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) have improved the outcomes after procedures. However, patients referred for CABG have been changing because of the recent advancement of PCI. The number of patients referred for CABG has decreased; furthermore, those patients have significant comorbid conditions and multiple severe coronary artery disease. Several randomized controlled clinical trials demonstrated the superiority of CABG regarding major adverse cardiac and cerebral events to PCI. The selection of these two invasive therapies including hybrid approach should be done by both patients' clinical condition and anatomical characteristics of coronary artery.
已经开发出几种治疗冠状动脉疾病的方法。目前冠状动脉旁路移植术（CABG）和经皮冠状动脉介入治疗（PCI）的技术都改善了术后的治疗效果。然而，由于PCI的最新进展，转诊接受CABG的患者一直在变化。转诊接受CABG的患者数量减少；此外，这些患者有明显的合并症和多处严重冠状动脉疾病。几项随机对照临床试验证明，在主要不良心脑血管事件方面，CABG优于PCI。包括杂交手术在内的这两种侵入性治疗方法的选择应根据患者的临床状况和冠状动脉的解剖特征来进行。
