Intraoperative graft assessment during coronary artery bypass surgery

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• 作者：Toshihiro Fukui (1)
  
  1. Department of Cardiovascular Surgery ; Sakakibara Heart Institute ; 3-16-1 Asahi-cho ; Fuchu ; Tokyo ; 183-0003 ; Japan
  
• 关键词：Coronary artery bypass grafting ; Graft patency ; Intraoperative fluorescence imaging ; Transit ; time flow measurement
• 刊名：General Thoracic and Cardiovascular Surgery
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：63
• 期：3
• 页码：123-130
• 全文大小：767 KB
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• 刊物主题：Thoracic Surgery; Cardiac Surgery; Cardiology; Surgical Oncology;
• 出版者：Springer Japan
• ISSN：1863-6713

文摘

Coronary artery bypass grafting (CABG) is an established revascularization method for treating multivessel coronary artery disease. The goal of CABG is to achieve complete revascularization with a durable, patent graft without reintervention. However, early graft failure, including that associated with technical errors, has been reported. This makes intraoperative verification of graft patency one of the most important ways in which surgeons can reduce the rate of early graft failure. Conventional angiography is considered the gold standard for graft assessment. However, because it is invasive and inconvenient, several alternatives to intraoperative graft assessment have become available that help reduce early graft failure by allowing revision of the anastomosis intraoperatively. The aim of this article is to review the advantages and disadvantages of several intraoperative graft assessment methods for CABG.