最先端の手術による冠動脈再循環の現状

Stuart J Head¹, Milan Milojevic¹, David P Taggart¹

¹From Department of Cardiothoracic Surgery, Erasmus University Medical Centre, Rotterdam, the Netherlands (S.J.H., M.M.); Department of Cardiovascular Surgery, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, UK (D.P.T.); and Department of Cardiovascular Surgery, Mount Sinai Saint Luke's Hospital, Icahn School of Medicine at Mount Sinai, New York, NY (J.D.P.).

Circulation

|October 4, 2017

まとめ

冠動脈バイパス移植 (CABG) は冠動脈疾患の重要な手術であり,リスクが高い患者にも関わらず,改善された結果と生存率を示しています. 技術的進歩により,短期的および長期的成果が向上し続けています.

科学分野:

心血管外科
心臓手術の結果
冠動脈疾患の管理

背景:

冠動脈バイパス移植 (CABG) は,多血管性および左主冠動脈疾患の基礎となる手術である.
既知の症状と予後効果は,心臓ケアにおけるその重要性を強調しています.

研究の目的:

CABGの現在の指示をレビューする.
CABGに関連する現代的な実践と成果を要約する.
CABGの結果に影響を与える最近の技術的進歩について議論する.

主な方法:

冠動脈バイパス移植の現在の指示,慣行,結果に関する文献レビュー.
生存率と合併症の減少の分析
CABGの手続きにおける技術的革新の議論

主要な成果:

術後の死亡率と術後の合併症が減少した.
5年生存率は約85%から95%で,10年生存率は約75%です.
患者のリスクプロファイルは上がりましたが手術の結果は進歩し続けています

結論:

冠動脈バイパス移植は非常に効果的な再血管化戦略です
進行中の技術革新は,CABGの有効性と患者の回復のさらなる改善を約束しています.
オフポンプ手術や経路選択や侵襲性の少ない技術といった分野での進歩が将来の成功の鍵となります

キーワード:

冠動脈バイパスグラント乳腺動脈心筋再血管化は放射線動脈

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