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序贯与独立冠状动脉旁路移植术吻合口和桥血管通畅率的比较：一项荟萃分析。

The patency of graft and anastomoses in sequential and individual coronary artery bypass grafting: A meta-analysis.

机构信息

Department of Cardiovascular Surgery, Affiliated Hospital of Weifang Medical University; Weifang-China.

Department of Operating Room, Affiliated Hospital of Weifang Medical University; Weifang-China.

出版信息

Anatol J Cardiol. 2020 Oct;24(4):235-243. doi: 10.14744/AnatolJCardiol.2020.10406.

DOI:10.14744/AnatolJCardiol.2020.10406
PMID:33001044
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7585954/
Abstract

OBJECTIVE

: To compare the patency of graft and anastomoses in sequential and individual coronary artery bypass grafting (CABG).

METHODS

: Our study used the Cochrane Library database, Excerpta Medica database, Web of Science, and PubMed. Studies comparing the outcomes of graft or anastomosis patency were assessed independently by two reviewers to identify the literature of satisfaction. We used Review Manager and STATA software for statistical analysis.

RESULTS

: Fifteen cohort studies were analyzed, including 10681 patients, 12957 grafts, and 4341 anastomoses, under sequential and individual CABG. Compared with the sequential group, the individual one is statistically significant in the graft patency [risk ratio (RR)=1.07, 95% confidence interval (CI ) 1.01–1.13; p=0.02] and anastomosis patency (RR=1.06, 95% CI 1.01–1.12; p=0.005).

CONCLUSION

: Our study suggested that the patency of the individual group, in terms of graft and anastomosis patency, is better than that of the sequential one.

摘要

目的

比较序贯和独立冠状动脉旁路移植术（CABG）中移植物和吻合口通畅情况。

方法

本研究使用 Cochrane 图书馆数据库、Excerpta Medica 数据库、Web of Science 和 PubMed。由两位评审员独立评估比较移植物或吻合口通畅结果的研究，以确定符合条件的文献。我们使用 Review Manager 和 STATA 软件进行统计分析。

结果

分析了 15 项队列研究，包括 10681 例患者、12957 个移植物和 4341 个吻合口，在序贯和独立 CABG 下。与序贯组相比，个体组的移植物通畅率[风险比（RR）=1.07，95%置信区间（CI）1.01–1.13；p=0.02]和吻合口通畅率（RR=1.06，95%CI 1.01–1.12；p=0.005）具有统计学意义。

结论

本研究表明，在移植物和吻合口通畅方面，个体组的通畅率优于序贯组。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05eb/7585954/a00e89862ac2/AJC-24-235-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05eb/7585954/715df6f72fb4/AJC-24-235-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05eb/7585954/fa92a8aa7452/AJC-24-235-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05eb/7585954/40167521780f/AJC-24-235-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05eb/7585954/7ab08c3d26b1/AJC-24-235-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05eb/7585954/d9459af9560d/AJC-24-235-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05eb/7585954/a00e89862ac2/AJC-24-235-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05eb/7585954/715df6f72fb4/AJC-24-235-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05eb/7585954/fa92a8aa7452/AJC-24-235-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05eb/7585954/40167521780f/AJC-24-235-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05eb/7585954/7ab08c3d26b1/AJC-24-235-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05eb/7585954/d9459af9560d/AJC-24-235-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05eb/7585954/a00e89862ac2/AJC-24-235-g006.jpg

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Ann Thorac Surg. 2020 Apr;109(4):1165-1173. doi: 10.1016/j.athoracsur.2019.07.094. Epub 2019 Sep 17.
2
Patency of Individual and Sequential Coronary Artery Bypass in Patients with Ischemic Heart Disease: A Meta-analysis.缺血性心脏病患者个体及序贯冠状动脉搭桥术的通畅率：一项荟萃分析。
Braz J Cardiovasc Surg. 2019 Aug 27;34(4):420-427. doi: 10.21470/1678-9741-2018-0284.
3
Five-Year Outcome After Off-Pump or On-Pump Coronary Artery Bypass Grafting in Elderly Patients.
非体外循环与体外循环冠状动脉旁路移植术治疗老年患者的 5 年结果。
Circulation. 2019 Apr 16;139(16):1865-1871. doi: 10.1161/CIRCULATIONAHA.118.035857.
4
Long-Term Patency of Individual Segments of Different Internal Thoracic Artery Graft Configurations.不同左胸廓内动脉移植构型各节段的远期通畅率。
Ann Thorac Surg. 2019 Mar;107(3):740-746. doi: 10.1016/j.athoracsur.2018.09.030. Epub 2018 Nov 2.
5
2018 ESC/EACTS Guidelines on myocardial revascularization.2018年欧洲心脏病学会/欧洲心胸外科学会心肌血运重建指南。
Eur J Cardiothorac Surg. 2019 Jan 1;55(1):4-90. doi: 10.1093/ejcts/ezy289.
6
Radial-Artery or Saphenous-Vein Grafts in Coronary-Artery Bypass Surgery.冠状动脉旁路移植术中的桡动脉或隐静脉移植物。
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7
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8
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N Engl J Med. 2016 Dec 15;375(24):2359-2368. doi: 10.1056/NEJMoa1601564. Epub 2016 Oct 23.
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