Masroor Matiullah, Ahmad Ashfaq, Wang Yixuan, Dong Nianguo
Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Department of Cardiothoracic and Vascular Surgery, Amiri Medical Complex, Qargha Rd., Kabul 1010, Afghanistan.
Diagnostics (Basel). 2023 May 29;13(11):1891. doi: 10.3390/diagnostics13111891.
Coronary artery bypass grafting (CABG) is the gold standard procedure for multi vessels and left main coronary artery disease. The prognosis and survival outcomes of CABG surgery are highly dependent on the patency of the bypass graft. Early graft failure which can occur during or soon after CABG remains a significant issue, with reported incidences of 3-10%. Graft failure can lead to refractory angina, myocardial ischemia, arrhythmias, low cardiac output, and fatal cardiac failure, emphasizing the importance of ensuring graft patency during and after surgery to prevent such complications. Technical errors during anastomosis are among the leading causes of early graft failure. To address this issue, various modalities and techniques have been developed to evaluate graft patency during and after CABG surgery. These modalities aim to assess the quality and integrity of the graft, thus enabling surgeons to identify and address any issues before they lead to significant complications. In this review article, we aim to discuss the strengths and limitations of all available techniques and modalities, with the goal to identify the best modality for evaluating graft patency during and after CABG surgery.
冠状动脉旁路移植术（CABG）是治疗多支血管病变和左主干冠状动脉疾病的金标准手术。CABG手术的预后和生存结果高度依赖于旁路移植血管的通畅性。CABG手术期间或术后不久可能发生的早期移植血管失败仍然是一个重大问题，报告的发生率为3%至10%。移植血管失败可导致难治性心绞痛、心肌缺血、心律失常、低心输出量和致命性心力衰竭，这凸显了在手术期间和术后确保移植血管通畅以预防此类并发症的重要性。吻合术中的技术错误是早期移植血管失败的主要原因之一。为了解决这个问题，已经开发了各种方法和技术来评估CABG手术期间和术后移植血管的通畅性。这些方法旨在评估移植血管的质量和完整性，从而使外科医生能够在导致严重并发症之前识别并解决任何问题。在这篇综述文章中，我们旨在讨论所有可用技术和方法的优点和局限性，目标是确定评估CABG手术期间和术后移植血管通畅性的最佳方法。
