Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas; The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas; Department of Cardiovascular Surgery, The Texas Heart Institute, Houston, Texas.
Harvard Medical School, Boston, Massachusetts; Brigham and Women's Hospital, Boston, Massachusetts; Cardiothoracic Surgery, VA Boston Healthcare System, Boston, Massachusetts.
Semin Thorac Cardiovasc Surg. 2013 Winter;25(4):273-9. doi: 10.1053/j.semtcvs.2014.01.002. Epub 2014 Jan 28.
Modern cardiac practice in the United States is conservative when it comes to using bilateral internal mammary or radial artery grafts in coronary artery bypass surgery. Here, we examine the evidence regarding using other arterial grafts instead of veins as a complement to left internal mammary artery in surgical revascularization. In addition, we put our report in perspective relative to prevailing practice, professional societal guidelines, and future directions in coronary artery bypass grafting.
在美国,现代心脏实践在使用双侧内乳动脉或桡动脉移植物进行冠状动脉旁路手术时较为保守。在这里,我们研究了使用其他动脉移植物代替静脉作为左内乳动脉在外科血运重建中的补充的证据。此外,我们根据当前的实践、专业的社会指南和冠状动脉旁路移植术的未来方向对我们的报告进行了分析。