Alzghari Talal, Dimagli Arnaldo, An Kevin R, Cancelli Gianmarco, Harik Lamia, Perezgorvas-Olaria Roberto, Soletti Giovanni Jr, Gaudino Mario
Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY 10065, USA.
Rev Cardiovasc Med. 2023 Jun 30;24(7):188. doi: 10.31083/j.rcm2407188. eCollection 2023 Jul.
Ischemic heart disease is the leading cause of death in the United States. Depending on the severity of the coronary artery disease, treatment options include percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG). Although CABG has been performed since the 1970s, there is still debate onwhich conduit to use after the left internal thoracic artery. Currently, national registries report the left internal thoracic artery and the saphenous vein as the most commonly used conduits in CABG, while other arterial grafts, such as the radial artery, represent a minority, even though the current evidence suggests potential benefits of these arterial conduits. In this review, we aimed to describe the different types of arterial conduits used for CABG and summarize the evidence behind their use.
缺血性心脏病是美国的主要死因。根据冠状动脉疾病的严重程度，治疗选择包括经皮冠状动脉介入治疗（PCI）和冠状动脉旁路移植术（CABG）。尽管自20世纪70年代以来就已开展冠状动脉旁路移植术，但对于在使用左胸廓内动脉之后选用何种血管移植物仍存在争议。目前，国家登记处报告称，在冠状动脉旁路移植术中，左胸廓内动脉和大隐静脉是最常用的血管移植物，而其他动脉移植物，如桡动脉，占比则较小，尽管目前的证据表明这些动脉血管移植物具有潜在益处。在本综述中，我们旨在描述用于冠状动脉旁路移植术的不同类型动脉血管移植物，并总结其使用背后的证据。
