复合冠状动脉血运重建术的现状及进展  

Current state of the art of hybrid coronary revascularization

作　　者：李东杰 高杰[1] 苏丕雄[1] Li Dongjie;Gao Jie;Su Pixiong(Department of Cardiac Surgery,Heart Center,Chaoyang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院心脏外科,100020

出　　处：《中华胸心血管外科杂志》2021年第10期627-630,共4页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：自1996年Angelini提出复合冠状动脉血运重建术(HCR),至今已经历20余年发展。HCR结合了外科微创冠状动脉旁路移植术和内科介入技术优势,在微创条件下既保证了前降支的远期通畅率,又完成了完全再血管化。本文对HCR的历史、概念、类型、患者选择、围手术期抗凝策略、外科技术、与传统冠状动脉旁路移植和介入支架临床结果对比、HCR现状和展望做系统综述。Hybrid coronary revascularization has been developing for more than 20 years since it was first proposed by Angelini in 1996.HCR combines the benefit of surgical anastomosis of the left internal mammary artery to the left anterior descending coronary artery graft along with stenting of non-LAD lesions with percutaneous coronary intervention,and achieves complete revascularization.In this review,we have summarized the current state of the art of HCR,including the history,conception,types,patient selection,perioperative antiplatelet strategies,surgical techniques,clinical results as compared with conventional coronary artery bypass grafting and PCI,and the future of HCR.

关 键 词：冠状动脉旁路移植 远期通畅率 介入技术 前降支 完全再血管化 微创冠状动脉旁路移植术 外科技术 围手术期 

分 类 号：R654.2[医药卫生—外科学]