Surgical collateralization: The hidden mechanism for improving prognosis in chronic coronary syndromes

The Journal of Thoracic and Cardiovascular Surgery

article

Torsten Doenst¹  Holger Sigusch² 

[1] Department of Cardiothoracic Surgery, Jena University Hospital, Friedrich Schiller University of Jena;Department of Cardiology

关键词: cardiac surgery;    coronary artery bypass grafting;    mortality;    myocardial infarction;    percutaneous coronary intervention;   

DOI  :  10.1016/j.jtcvs.2020.10.121

学科分类：心脏病和心血管学

来源: Mosby, Inc.

【 摘 要 】

Feature Editor's Introduction—In this issue of the Journal, Doenst and Sigusch nicely summarize the mechanisms of the protective effect of coronary bypass surgery on the coronary circulation and on clinical outcomes. Although percutaneous interventions treat only flow-limiting stenoses, bypass surgery confers long-term protection against disease progression in the entire grafted vessel (“surgical collateralization”). This key mechanistic difference likely explains the difference in outcomes between the 2 strategies and has profound implications for many aspects of modern coronary bypass practice, including the use of arterial grafts and the role of fractional flow reserve.

【 授权许可】

Unknown