Journal of Shandong University (Health Sciences) ›› 2025, Vol. 63 ›› Issue (5): 6-11.doi: 10.6040/j.issn.1671-7554.0.2024.0879

• Special Topic on Application of Arterial Grafts in Coronary Artery Bypass Grafting • Previous Articles    

Application interpretation of STS multi-vessel coronary artery bypass grafting

XIAO Fei1, WANG Lianqun2, JI Qiang3   

  1. 1. Cardiac Surgery Department, Guangdong Provincial Peoples Hospital / Guangdong Academy of Medical Sciences/Guangdong Institute of Cardiovascular Diseases, Guangzhou 510080, Guangdong, China;
    2. Cardiac Surgery Department, Tianjin Chest Hospital, Tianjin 300222, China;
    3. Cardiac Surgery Department, Zhongshan Hospital, Fudan University, Shanghai 200032, China
  • Published:2025-05-07

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Abstract: The data from the Adult Cardiac Database(ACSD)of the American Society of Thoracic Surgeons(STS)shows that there are multiple revascularization options in coronary artery bypass grafting(CABG)with multiple vessel lesions, and studies have found that multivessel CABG improves long-term survival. The number of cases of multiple artery CABG in the United States accounts for about 10% of the total number of CABG operations, which is on the rise in the past five years, but is lower than that in Europe and Australia. The data of the ACSD showed that perioperative mortality and major cardiovascular adverse events were lower in patients with multiple artery grafting than those with single artery grafting. The number and proportion of patients with multiple arterial grafting vary greatly between different regions and different hospitals in the United States. The main factors influencing the surgeons use of multiple artery grafting include the lack of high-quality prospective randomized study data, the need for longer surgical time, the need to occupy more medical resources, and the more complex surgical techniques needed. A large number of prospective, randomized controlled studies with clear conclusions are needed to support the wider application of multiple artery grafting.

Key words: Coronary artery bypass grafting, Multi-artery grafting, Single artery grafting, Radial artery, Internal thoracic artery

CLC Number: 

  • R615
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