New Strategies for Surgical Myocardial Revascularization.
Circulation
; 138(19): 2160-2168, 2018 11 06.
Article
en En
| MEDLINE
| ID: mdl-30474417
ABSTRACT
We summarize the evidence on the new strategies for coronary artery bypass grafting (CABG). Hybrid CABG implies surgical grafting of the left anterior descending artery and percutaneous treatment of the other target vessels, with the promise of combining the durable benefits of surgery with the less invasive approach of percutaneous coronary interventions. Robotic CABG and minimally invasive CABG are performed through minimal incision or port access with dedicated equipment and instruments. Anaortic coronary artery bypass refers to off-pump CABG using only in-situ grafts. The use of multiple arterial grafts has been shown to improve patency and is potentially associated with better clinical outcomes. All these techniques require dedicated training and are more complex than conventional CABG but can significantly improve the results of surgery. Validation of the results of these new approaches in large randomized trials is a priority for the surgical community.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Enfermedad de la Arteria Coronaria
/
Puente de Arteria Coronaria
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Vasos Coronarios
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Intervención Coronaria Percutánea
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Procedimientos Quirúrgicos Robotizados
Tipo de estudio:
Clinical_trials
/
Etiology_studies
/
Risk_factors_studies
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Sysrev_observational_studies
Límite:
Humans
Idioma:
En
Revista:
Circulation
Año:
2018
Tipo del documento:
Article