Kieser Teresa M, Taggart David P
Division of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Canada.
Nuffield Department of Surgery, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom.
J Card Surg. 2018 May;33(5):219-228. doi: 10.1111/jocs.13546. Epub 2018 Mar 23.
The "Achilles heel" of coronary artery bypass graft (CABG) surgery is graft patency. While long-term patency is determined by the type of conduit and the progression of graft and native vessel disease, short-term patency is affected by intra-operative technical issues. Transit-time flow measurements and epicardial ultrasound have been shown to accurately assess intra-operative graft patency. This review will examine the evidence to support the premise that intra-operative graft assessment is essential in determining graft patency and should be the standard of care when performing CABG surgery.
冠状动脉旁路移植术（CABG）的“阿喀琉斯之踵”是移植物通畅性。虽然长期通畅性由血管 conduit 的类型以及移植物和自身血管疾病的进展决定，但短期通畅性受术中技术问题影响。已证明通过渡越时间血流测量和心外膜超声能够准确评估术中移植物通畅性。本综述将审视相关证据，以支持术中移植物评估对于确定移植物通畅性至关重要这一前提，并且在进行 CABG 手术时应作为护理标准。
