Ejiofor Julius I, Leacche Marzia, Byrne John G
Division of Cardiac Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Division of Cardiac Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Prog Cardiovasc Dis. 2015 Nov-Dec;58(3):356-64. doi: 10.1016/j.pcad.2015.08.012. Epub 2015 Aug 28.
Modern treatment of coronary artery disease (CAD) requires a patient-centered approach. With several technological advances, the options for treatment must be carefully weighed and novel approaches tested for safety and efficacy. In this chapter, we outline some of the new approaches available to cardiac surgeons for the treatment of CAD, including off pump coronary artery bypass grafting, minimally invasive as well as hybrid and robotic coronary revascularization. We discuss current evidence and controversies, and highlight the future directions and challenges in the field of surgical coronary revascularization.
现代冠状动脉疾病（CAD）的治疗需要以患者为中心的方法。随着多项技术进步，必须仔细权衡治疗选择，并对新方法的安全性和有效性进行测试。在本章中，我们概述了心脏外科医生可用于治疗CAD的一些新方法，包括非体外循环冠状动脉旁路移植术、微创以及杂交和机器人冠状动脉血运重建术。我们讨论了当前的证据和争议，并强调了外科冠状动脉血运重建领域的未来方向和挑战。
