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Which is the best technique for CABG; OPCAB, on-pump arrest CABG or on-pump beating CABG?

机译:CABG最好的技术是什么? OPCAB,在泵上逮捕CABG或在泵上殴打CABG?

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摘要

The treatment of coronary artery disease includes medication, percutaneous catheter intervention (PCI) and coronary artery bypass grafting (CABG), and an indication of these treatments is dependent on its severity, mainly number of diseased vessels. Multiple vessel disease is now considered as an indication of intervention, and severe coronary artery disease such as three-vessel disease and left main disease is considered as a good indication of CABG. Although an indication for PCI is expanding especially since the introduction of drug-eluting stent, CABG is still considered superior to PCI among patients with complex coronary artery disease, diabetes mellitus, and old age, due to its less frequency of major adverse cardiac events (MACE), in large part because of a reduced rate of repeat revascularization.
机译:冠状动脉疾病的治疗包括药物治疗,经皮导管干预(PCI)和冠状动脉旁路移植术(CABG),这些治疗的适应症取决于其严重程度,主要是病变血管的数量。现在认为多支血管疾病是干预的指征,而严重的冠状动脉疾病(如三支血管疾病和左主干疾病)被认为是CABG的良好指征。尽管自从引入药物洗脱支架以来,PCI的指征一直在扩大,但由于复杂的严重心脏事件的发生频率较低,在复杂的冠心病,糖尿病和高龄患者中,CABG仍被认为优于PCI( MACE),很大程度上是因为重复血运重建率降低。

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