杂交冠状动脉血运重建术治疗冠心病的新进展

摘要

目前，冠心病治疗手段主要是药物治疗、经皮冠状动脉介入术、冠状动脉旁路移植术等。临床上冠状动脉多支狭窄患者多选择微创介入治疗，但尤其多支血管病变合并其他疾病患者根据SYNTAX积分或指南，多推荐冠状动脉旁路移植术。然而，心脏外科手术创伤及并发症等缺点，经皮冠状动脉介入术也存在血管再狭窄、血栓等事件风险，随着医学技术不断进步，杂交冠状动脉血运重建术孕育而生，现就杂交冠状动脉血运重建术的定义、手术策略及患者选择、新研究进展做一综述。%Currently,treatment strategy of coronary heart disease mainly includes drug therapy, percutaneous coronary intervention ( PCI) , and coronary artery bypass grafting ( CABG).In the practice,patients with serious coronary artery stenosis prefer to choose PCI, es-pecially SYNTAX score or guidelines of treatment patients with multivessel disease are more recommended to choose CABG.However, disad-vantages of CABG are severe surgical trauma and complications, similarly,PCI also has complications with stent restenosis and thrombosis e-vent.With the development of medical technology, hybrid coronary revascularization is coming out.This article is reviewing the definition, patient selection strategies,and new research progress of hybrid coronary revascularization.