Shehata Islam Mohammad, Odell Tiffany D, Elhassan Amir, Spektor Maxim, Urits Ivan, Viswanath Omar, Jeha George M, Cornett Elyse M, Kaye Alan D
Department of Anesthesiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, CA, USA.
Cardiol Ther. 2021 Jun;10(1):57-66. doi: 10.1007/s40119-020-00207-1. Epub 2020 Dec 23.
Coronary artery bypass grafting (CABG) remains a routine operation despite major advancements in angioplastic procedures. Around 200,000 CABG procedures are performed annually in the U.S. Patients who are not candidates for angioplasty intervention often have advanced coronary disease and comorbidities that raise the risk of heart failure with decreased ejection fraction to around 25%. Over the years, significant developments in various preoperative interventions have occurred; in this paper, we suggest a multidisciplinary preoperative algorithm that can be included in a regularly scheduled multidisciplinary care plan.
尽管血管成形术取得了重大进展，但冠状动脉旁路移植术（CABG）仍然是一种常规手术。在美国，每年大约进行20万例CABG手术。不适合进行血管成形术干预的患者通常患有晚期冠状动脉疾病和合并症，这会将射血分数降低的心力衰竭风险提高到25%左右。多年来，各种术前干预措施都有了显著发展；在本文中，我们提出了一种多学科术前算法，可纳入定期安排的多学科护理计划中。
