不停跳冠状动脉旁路移植术；它是否仍然相关？
Off-Pump Coronary Artery Bypass Grafting; is it Still Relevant?
机构信息
Chris Barnard Division of Cardiothoracic Surgery, Groote Schuur Hospital Cape Town, Cape Town 7925, South Africa.
出版信息
Curr Cardiol Rev. 2022;18(2):e271021197431. doi: 10.2174/1573403X17666211027141043.
Abstract
Off-pump Coronary Artery Bypass Grafting (OPCAB) experienced a resurgence in the 1980s -2000s and developed steadily with improvement of the instrumentation and techniques. However questions about graft patency and long-term survival of OPCAB patients still exist. This review attempts to explore the current relevance of OPCAB.
摘要
非体外循环冠状动脉旁路移植术（OPCAB）在 20 世纪 80 年代至 2000 年代经历了复苏，并随着器械和技术的改进而稳步发展。然而，关于 OPCAB 患者的移植物通畅性和长期生存的问题仍然存在。本综述试图探讨 OPCAB 的当前相关性。
相似文献
1
Off-Pump Coronary Artery Bypass Grafting; is it Still Relevant?不停跳冠状动脉旁路移植术；它是否仍然相关？
Curr Cardiol Rev. 2022;18(2):e271021197431. doi: 10.2174/1573403X17666211027141043.
2
Off-Pump Versus On-Pump Coronary Artery Bypass Grafting-A Systematic Review and Analysis of Clinical Outcomes.非体外循环与体外循环冠状动脉旁路移植术——临床结果的系统评价与分析
J Cardiothorac Vasc Anesth. 2019 Jan;33(1):232-244. doi: 10.1053/j.jvca.2018.04.012. Epub 2018 Apr 4.
3
Minimally Circulatory-Assisted On-Pump Beating Coronary Artery Bypass Grafting for Patients With Complex Conditions for Off-Pump Surgery.适用于非体外循环手术复杂病情患者的微创循环辅助不停跳冠状动脉旁路移植术
Artif Organs. 2017 Mar;41(3):233-241. doi: 10.1111/aor.12761. Epub 2016 Oct 26.
4
Off-pump coronary artery bypass grafting in India.印度的非体外循环冠状动脉旁路移植术。
Indian Heart J. 2014 Mar-Apr;66(2):203-7. doi: 10.1016/j.ihj.2014.02.003. Epub 2014 Mar 4.
5
Current Status of Off-pump Coronary Artery Bypass Grafting in Patients with Multiple Coronary Artery Disease Compared with On-pump Coronary Artery Bypass Grafting: The Korean National Cohort Study.多支冠状动脉疾病患者非体外循环冠状动脉旁路移植术与体外循环冠状动脉旁路移植术的现状比较：韩国全国队列研究
Thorac Cardiovasc Surg. 2018 Sep;66(6):470-476. doi: 10.1055/s-0038-1651516. Epub 2018 May 31.
6
Surgical treatment of left main disease and severe carotid stenosis: does the off-pump technique provide a better outcome?左主干病变合并严重颈动脉狭窄的外科治疗：非体外循环技术是否提供更好的结果？
Eur J Cardiothorac Surg. 2013 Mar;43(3):541-8; discussion 548. doi: 10.1093/ejcts/ezs277. Epub 2012 May 22.
7
Risk-adjusted analysis of long-term outcomes after on- versus off-pump coronary artery bypass grafting.风险调整后分析非体外循环与体外循环冠状动脉旁路移植术的长期结果。
Interact Cardiovasc Thorac Surg. 2021 Nov 22;33(6):857-865. doi: 10.1093/icvts/ivab179.
8
Off-pump versus on-pump coronary artery bypass graft surgery: differences in short-term outcomes and in long-term mortality and need for subsequent revascularization.非体外循环与体外循环冠状动脉搭桥手术：短期结局、长期死亡率及后续血运重建需求的差异
Circulation. 2007 Sep 4;116(10):1145-52. doi: 10.1161/CIRCULATIONAHA.106.675595. Epub 2007 Aug 20.
9
Beating-heart coronary artery bypass grafting with miniaturized cardiopulmonary bypass results in a more complete revascularization when compared to off-pump grafting.与非体外循环旁路移植相比，微创体外循环心脏不停跳冠状动脉旁路移植可实现更完全的血运重建。
Artif Organs. 2010 Mar;34(3):179-84. doi: 10.1111/j.1525-1594.2009.00836.x.
10
Off-pump vs conventional coronary artery bypass grafting: early and 1-year graft patency, cost, and quality-of-life outcomes: a randomized trial.非体外循环与传统冠状动脉搭桥术：早期及1年时的移植血管通畅情况、成本及生活质量结果：一项随机试验
JAMA. 2004 Apr 21;291(15):1841-9. doi: 10.1001/jama.291.15.1841.
引用本文的文献
1
Goal-directed fluid therapy improves volume loading and stabilizes hemodynamics in patients undergoing coronary artery bypass grafting.目标导向液体治疗可改善冠状动脉搭桥术患者的容量负荷并稳定血流动力学。
Am J Transl Res. 2025 Feb 15;17(2):1135-1143. doi: 10.62347/IUZM6291. eCollection 2025.
2
Serum Periostin as a Novel Biomarker for Predicting 30-Day Major Adverse Cardiac Events After Off-Pump Coronary Artery Bypass Grafting.血清骨膜蛋白作为预测非体外循环冠状动脉旁路移植术后30天主要不良心脏事件的新型生物标志物。
Ther Clin Risk Manag. 2025 Feb 18;21:161-176. doi: 10.2147/TCRM.S507435. eCollection 2025.
3
Endoscopic-Assisted Multivessel Off-Pump Coronary Artery Bypass Grafting: Experience of the First 100 Procedures.内镜辅助多支血管非体外循环冠状动脉旁路移植术：前100例手术经验
J Chest Surg. 2025 Jan 5;58(1):21-30. doi: 10.5090/jcs.24.080. Epub 2024 Nov 18.
4
Evaluating the Efficacy of the Erector Spinae Plane Block as a Supplementary Approach to Cardiac Anesthesia during Off-Pump Coronary Bypass Graft Surgery via Median Sternotomy: A Randomized Clinical Trial.评估竖脊肌平面阻滞作为正中开胸非体外循环冠状动脉搭桥手术中心脏麻醉辅助方法的疗效：一项随机临床试验。
J Clin Med. 2024 Apr 11;13(8):2208. doi: 10.3390/jcm13082208.
5
Rationale and Design of the IMPROVE Trial: A Multicenter, Randomized, Controlled, Open-label, Blinded-endpoint Trial Assessing the Efficacy of Remote Ischemic Conditioning in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting.IMPROVE试验的原理与设计：一项多中心、随机、对照、开放标签、盲终点试验，评估远程缺血预处理在非体外循环冠状动脉旁路移植术患者中的疗效。
Adv Ther. 2024 Jul;41(7):3003-3012. doi: 10.1007/s12325-024-02836-7. Epub 2024 Apr 15.
6
Off-pump CABG surgery in left main coronary artery disease: a single-center prospective registry.非体外循环冠状动脉旁路移植术治疗左主干冠状动脉疾病：一项单中心前瞻性注册研究。
Indian J Thorac Cardiovasc Surg. 2023 Sep;39(5):446-452. doi: 10.1007/s12055-023-01526-3. Epub 2023 Jun 13.
本文引用的文献
1
Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.204 个国家和地区 1990-2019 年 369 种疾病和伤害导致的全球负担：2019 年全球疾病负担研究的系统分析。
Lancet. 2020 Oct 17;396(10258):1204-1222. doi: 10.1016/S0140-6736(20)30925-9.
2
Global Epidemiology of Ischemic Heart Disease: Results from the Global Burden of Disease Study.缺血性心脏病的全球流行病学：全球疾病负担研究结果
Cureus. 2020 Jul 23;12(7):e9349. doi: 10.7759/cureus.9349.
3
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 Heart J. 2019 Jan 7;40(2):87-165. doi: 10.1093/eurheartj/ehy394.
4
Off-pump versus on-pump coronary artery bypass grafting: Insights from the Arterial Revascularization Trial.非体外循环与体外循环冠状动脉旁路移植术：来自动脉再血管化试验的观察。
J Thorac Cardiovasc Surg. 2018 Apr;155(4):1545-1553.e7. doi: 10.1016/j.jtcvs.2017.10.135. Epub 2017 Dec 23.
5
Off-pump versus on-pump: State of the ART?非体外循环与体外循环：当前技术水平如何？
J Thorac Cardiovasc Surg. 2018 Apr;155(4):1554. doi: 10.1016/j.jtcvs.2017.11.020. Epub 2017 Nov 16.
6
Five-Year Outcomes after On-Pump and Off-Pump Coronary-Artery Bypass.心脏不停跳与心脏停跳冠状动脉旁路移植术 5 年后的结果。
N Engl J Med. 2017 Aug 17;377(7):623-632. doi: 10.1056/NEJMoa1614341.
7
Conduits Used in Coronary Artery Bypass Grafting: A Review of Morphological Studies.冠状动脉旁路移植术中使用的血管移植物：形态学研究综述
Ann Thorac Cardiovasc Surg. 2017 Apr 20;23(2):55-65. doi: 10.5761/atcs.ra.16-00178. Epub 2017 Feb 14.
8
Five-Year Outcomes after Off-Pump or On-Pump Coronary-Artery Bypass Grafting.非体外循环与体外循环冠状动脉旁路移植术 5 年结果。
N Engl J Med. 2016 Dec 15;375(24):2359-2368. doi: 10.1056/NEJMoa1601564. Epub 2016 Oct 23.
9
Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015.1980 - 2015年全球、区域和国家249种死因的预期寿命、全死因死亡率和死因别死亡率：全球疾病负担研究2015的系统分析
Lancet. 2016 Oct 8;388(10053):1459-1544. doi: 10.1016/S0140-6736(16)31012-1.
10
Off-pump versus on-pump coronary artery bypass surgery in patients with actively treated diabetes and multivessel coronary disease.非体外循环与体外循环冠状动脉旁路移植术治疗积极治疗的糖尿病合并多支血管病变患者的比较。
J Thorac Cardiovasc Surg. 2016 Nov;152(5):1321-1330.e12. doi: 10.1016/j.jtcvs.2016.06.038. Epub 2016 Jun 29.
Zotero 插件