冠状动脉搭桥术中桡动脉使用的国际趋势。
International trends in radial artery usage for coronary artery bypass grafting.
作者信息
Dimagli Arnaldo, An Kevin R, Sandner Sigrid, Mantaj Polina, Hirofuji Aina, Mazer C David, Redfors Bjorn, Qiu Feng, Fremes Stephen, Wijeysundera Harindra C, Schwann Thomas, Habib Robert, Gaudino Mario
机构信息
Department of Cardiothoracic Surgery, Weill Cornell Medicine, 525 E 68th St, New York, NY 10065, USA.
Department of Surgery, Columbia University Irving Medical Center, 177th Street Ft Washington Ave, New York, NY 10032, USA.
出版信息
Eur Heart J Open. 2025 Jun 28;5(4):oeaf086. doi: 10.1093/ehjopen/oeaf086. eCollection 2025 Jul.
AIMS
The study aimed to investigate international trends in the adoption of the radial artery (RA) as a conduit for coronary artery bypass grafting across different national and regional registries.
METHODS AND RESULTS
Data were extracted from four databases: the UK cardiac surgery database, the Ontario provincial administrative database, the Austrian national adult cardiac surgery database, and the Society of Thoracic Surgeons Adult Cardiac Surgery Database (STS ACSD). Radial artery use rates were 4.3% in the UK, 23.3% in Ontario, 4.8% in Austria, and 6.4% in the STS ACSD. Significant uptrends in RA use were observed in Ontario ( = 0.001), Austria ( = 0.004), and the STS ACSD ( = 0.02), while a downtrend was noted in the UK ( = 0.015). Endoscopic RA harvesting was increasingly adopted, particularly in Ontario and the STS ACSD.
CONCLUSION
Global adoption of RA remains variable and generally low with a general uptrend and higher adoption of endoscopic harvesting.
目的
本研究旨在通过不同国家和地区的登记处，调查将桡动脉（RA）作为冠状动脉旁路移植术血管 conduit 的国际趋势。
方法与结果
数据从四个数据库提取：英国心脏手术数据库、安大略省行政数据库、奥地利国家成人心脏手术数据库和胸外科医师协会成人心脏手术数据库（STS ACSD）。英国的桡动脉使用率为4.3%，安大略省为23.3%，奥地利为4.8%，STS ACSD为6.4%。在安大略省（P = 0.001）、奥地利（P = 0.004）和STS ACSD（P = 0.02）观察到桡动脉使用呈显著上升趋势，而在英国呈下降趋势（P = 0.015）。内镜下桡动脉获取方法越来越多地被采用，尤其是在安大略省和STS ACSD。
结论
全球范围内桡动脉的采用情况仍然存在差异且总体较低，呈普遍上升趋势，内镜获取方法的采用率更高。
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