双方向の内側乳腺動脈移植の使用は,冠動脈再循環の長期的リスクを軽減しますか? マルチセンター分析

Alexander Iribarne1, Joseph D Schmoker2, David J Malenka2

  • 1From Department of Surgery, Section of Cardiac Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH (A.I., D.J.M., J.N.M., J.P.D., E.M.O., A.W.D.); Department of Medicine, Section of Cardiology, Dartmouth-Hitchcock Medical Center, Lebanon, NH (D.J.M.); Department of Surgery, Section of Cardiac Surgery, University of Vermont Medical Center, Burlington (J.D.S., B.J.L.); Department of Surgery, Section of Cardiac Surgery, Central Maine Medical Center, Lewiston (P.W.W.); Department of Surgery, Section of Cardiac Surgery, Catholic Medical Center, Manchester, NH (B.M.W.); Department of Surgery, Section of Cardiac Surgery, Maine Medical Center, Portland (R.D.Q., R.S.K.); Department of Surgery, Section of Cardiac Surgery, Eastern Maine Medical Center, Bangor (J.D.K.); and Department of Surgery, Section of Cardiac Surgery, Concord Hospital, NH (G.L.S.). alexander.iribarne@hitchcock.org.

Circulation
|November 1, 2017
PubMed
まとめ

双面的な内部乳動脈 (BIMA) 移植は,単一の内部乳動脈 (SIMA) 移植と比較して,繰り返し冠動脈再血管化の必要性を軽減します. この長期的な生存率の改善と再血管化のリスクの減少は,冠動脈バイパス移植においてBIMAをより頻繁に考慮すべきことを示唆している.

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