kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2019-8-2-107-115kpccz-568Research ArticleАНАЛИТИЧЕСКИЙ ОБЗОРANALYTICAL REVIEWКОМПОЗИТНОЕ КОРОНАРНОЕ ШУНТИРОВАНИЕCOMPOSITE CORONARY ARTERY BYPASS GRAFTINGФроловА. В.FrolovA. V.

 кандидат медицинских наук, старший научный сотрудник лаборатории реконструктивной хирургии мультифокального атеросклероза, врач сердечно-сосудистый хирург кардиохирургического отделения, старший преподаватель научно-образовательного отдела,

 Сосновый бульвар, 6, Кемерово,  650002

6, Sosnoviy Blvd., Kemerovo,  650002

kjerne@yandex.ruКозыринК. А.KozirinK. A.

  кандидат медицинских наук, врач сердечно-сосудистый хирург кардиохирургического отделения,

Сосновый бульвар, 6, Кемерово,  650002

6, Sosnoviy Blvd., Kemerovo,  650002

Федеральное государственное бюджетное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Сосновый бульварРоссияFederal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”Russian Federation20192306201982107115Copyright © Фролов А.В., Козырин К.А., 20192019Фролов А.В., Козырин К.А.Frolov A.V., Kozirin K.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/568

анты композитного коронарного шунтирования. Доказано, что меньшее количество манипуляций на аорте в ходе операции существенно снижает риск ишемического инсульта, однако это всегда сопряжено с применением Offpump технологии, которая остаётся до сих пор спорным моментом несмотря на все преимущества указанной методики. Вместе с тем неоспоримым остаётся факт того, что при применении композитного или составного шунтирования возможна реваскуляризация миокарда даже в условиях недостатка кондуитов. А в последнее время дискутируются вопросы о соединении между собой артериальных и венозных кондуитов, что придаёт такому виду шунтирования ещё больший практический импульс.

The article presents the historical insights into composite coronary artery bypass grafting, current concepts and its different variants. A smaller number of manipulations on the aorta during the procedure has been proved to reduce significantly the risk of ischemic stroke. However, it requires off-pump technology, which is still controversial despite all its advantages. No doubt, composite or compound bypass grafting allows performing myocardial revascularization even if there is a lack of conduits. A particular concern has been paid to the connection between the arterial and venous conduits, therefore emphasizing the relevance of composite coronary artery bypass grafting.

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The authors declare that there are no conflicts of interest present.