微创复合式冠状动脉血运重建术现况及进展

摘要

[Summary] Minimally invasive hybrid coronary revascularization ( MIHCR) represents a minimally invasive revascularization strategy that combines coronary artery bypass graft ( CABG) surgery with percutaneous coronary intervention ( PCI) .Although MIHCR is better than coronary artery bypass graft surgery in theory , there is no useful randomized controlled trial to prove the advantage of MIHCR in recent medical papers .In this paper , we reviewed different aspects of MIHCR , such as basic definitions , basic rationale , indications , operation selection and current problems .%微创复合式冠状动脉血运重建术是将冠状动脉旁路移植术和经皮冠状动脉介入术联合，用于解决特定的冠状动脉多支病变，理论上具有优于传统冠状动脉旁路移植手术和经皮冠状动脉介入术的优点，但对微创复合式冠状动脉血运重建术的优势缺乏随机对照研究证实，本文对微创复合式冠状动脉血运重建术的基本定义和原理，适应证，手术方式选择，现存的问题进行文献总结。