| Background: It is estimated that approximately 500,000 patients worldwide undergo coronary artery bypass grafting(CABG)each year.CABG remains a superior option for revascularization compared to percutaneous coronary intervention(PCI)in cases of severe coronary artery disease(CAD).Choosing the appropriate grafts is a necessary condition to reduce mortality and the need for repeat intervention.Total arterial revascularization(TACR)is a major trend in coronary surgery in recent years,with higher graft patency rates and excellent long-term survival rates.Purpose: To summarize the recent clinical effects of total arterial revascularization using the internal mammary artery and the radial artery,and to compare it with traditional approach of a single internal mammary artery supplemented by saphenous veins.Methods: From January 2016 to November 2018,55 patients(41 males,14 females;age 61.0 ± 9.0 years)with multivessel coronary artery disease underwent total arterial revascularization(arterial revascularization group).Thirteen patients(24%)used bilateral internal mammary arteries,and all patients(100%)used at least one radial artery.At the same time,252 cases of traditional coronary artery bypass grafting were performed,and 55 cases were matched by propensity score.As a regular group,there were 42 males and 13 females with an age of 60.2±8.3 years.Compare the safety of the two surgical procedures,postoperative complications and recent clinical outcomes.Results: There was no death and there were no major cardiovascular and cerebrovascular adverse events(MACCEs)during the perioperative and the following-up period in the arterial revascularization group.In addition,patients in this group had no perioperative angina and no one need for revascularization surgery.The difference was not significant in hospital mortality and morbidity compared to the regular group.Conclusion: The early clinical outcome to off-pump total arterial revascularization is satisfactory,and patients with a reasonable life expectancy should be encouraged to undergo total arterial revascularization. |
