Management of Coronary Artery Disease

被引：27

作者：

Sulava, Eric Francis ^{[1
]}

Johnson, Jeffery Chad ^{[2
]}

机构：

[1] Naval Med Readiness & Training Ctr Portsmouth, Dept Emergency Med, 620 John Paul Jones Circle, Portsmouth, VA 23708 USA

[2] Naval Med Readiness & Training Ctr Portsmouth, Div Cardiothorac Surg, Dept Surg, 620 John Paul Jones Circle, Portsmouth, VA 23708 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2022年 / 102卷 / 03期

关键词：

Coronary artery bypass grafting (CABG); Heart team; Hybrid revascularization; Minimally invasive CABG; INTERNAL THORACIC ARTERY; STERNAL WOUND-INFECTION; BYPASS GRAFT-SURGERY; LONG-TERM PATENCY; OFF-PUMP; ON-PUMP; SAPHENOUS-VEIN; 5-YEAR OUTCOMES; METAANALYSIS; ECHOCARDIOGRAPHY;

D O I：

10.1016/j.suc.2022.01.005

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Surgical management of CAD has been refined over almost 6 decades and is the standard of care for coronary revascularization among patients with multivessel or unprotected left main CAD. The goal of surgical therapy is complete revascularization, and using arterial conduits, specifically the LITA to LAD, is advocated. Minimally invasive, OPCAB, and hybrid procedures may benefit subsets of patients for whom traditional CABG is not advised or who have conditions that are more suited to these techniques. Optimizing long-term outcomes depends on diligent medical follow-up and adherence to optimal postoperative medical therapy.

引用

页码：449 / 464

页数：16

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