Department of Cardiothoracic Surgery, Weill-Cornell Medical College, New York - Presbyterian Hospital, New York, NY, USA.
Division of Cardiac Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Eur J Cardiothorac Surg. 2020 Dec 1;58(6):1111-1117. doi: 10.1093/ejcts/ezaa377.
Observational evidence shows that the use of multiple arterial grafts (MAG) is associated with longer postoperative survival and improved clinical outcomes. The current European Society of Cardiology/European Association for Cardio-Thoracic Surgery Guidelines on myocardial revascularization recommend the use of MAG in appropriate patients. However, a significant volume-to-outcome relationship exists for MAG, and lack of sufficient experience is associated with increased operative risk. A stepwise approach to building experience with MAG allows successful implementation of this technique into routine coronary surgery practice.
观察性证据表明,使用多支动脉移植物(MAG)与术后生存时间延长和临床结局改善相关。目前欧洲心脏病学会/欧洲心胸外科学会心肌血运重建指南推荐在合适的患者中使用 MAG。然而,MAG 存在显著的量效关系,经验不足与手术风险增加相关。采用逐步方法积累 MAG 经验可成功将该技术纳入常规冠状动脉手术实践。