Di Giammarco Gabriele, Marinelli Daniele
Department of Neuroscience, Imaging and Clinical Sciences, University "G. d'Annunzio", Chieti, Italy.
Clinica Cardiochirurgica Ospedale SS.Annunziata, Via dei Vestini s.n.c., 66100 Chieti, Italy.
Indian J Thorac Cardiovasc Surg. 2018 Dec;34(Suppl 3):297-301. doi: 10.1007/s12055-018-0697-0. Epub 2018 Aug 11.
The evaluation of native coronary arteries in cardiac surgery represents a useful tool to detect coronary artery stenosis, identify the target artery, and choose the best anastomotic site. Intraoperative graft assessment is a fundamental step of coronary artery bypass grafting. It is able to reduce graft failure related to technical error, improving both short- and long-term outcome of patients submitted to surgical myocardial revascularization. Herein procedures of graft assessment are described, reporting their strengths and limitations.
心脏手术中对自身冠状动脉的评估是检测冠状动脉狭窄、识别靶血管以及选择最佳吻合部位的一项有用工具。术中移植物评估是冠状动脉旁路移植术的一个基本步骤。它能够减少与技术失误相关的移植物失败,改善接受外科心肌血运重建患者的短期和长期预后。本文描述了移植物评估的步骤,并阐述了其优缺点。