微创冠状动脉旁路移植术的教学：一个良好耐受的采用和培训的结构化框架。

IF 2 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Opinion in Cardiology Pub Date : 2025-09-25 DOI:10.1097/HCO.0000000000001252

Ziyab K Sarfaraz, Qasim Al Abri, Mahesh Ramchandani

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引用次数: 0

摘要

综述目的：微创冠状动脉旁路移植术（MICS CABG）提供了无需胸骨切开手术血运重建术的优点，但由于技术要求和缺乏结构化培训，仍未得到充分利用。本综述概述了安全采用的逐步框架。最近的研究发现：研究和现实世界的经验证实，在高容量中心熟练掌握非泵式CAB （OPCAB）、系统的技术进步和指导对安全学习至关重要。最近的培训创新和基于模拟器的技术改善了结果并减少了学习曲线中的并发症。总结：MICS CABG的广泛采用取决于基于OPCAB的结构化培训、技术排序和手术指导。强调患者安全、正确病例选择和技能发展的项目可以扩大微创冠状动脉手术的可及性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Teaching minimally invasive coronary artery bypass grafting: a structured framework for well tolerated adoption and training.

Purpose of review: Minimally invasive coronary artery bypass grafting (MICS CABG) offers the benefits of surgical revascularization without sternotomy but remains underutilized due to technical demands and a lack of structured training. This review outlines a stepwise framework for safe adoption.

Recent findings: Studies and real-world experience confirm that off-pump CAB (OPCAB) proficiency, systematic technical progression, and mentorship in high-volume centers are essential for safe learning. Recent training innovations and simulator-based techniques improve outcomes and reduce complications during the learning curve.

Summary: Wider adoption of MICS CABG hinges on structured training rooted in OPCAB, technical sequencing, and surgical mentorship. Programs emphasizing patient safety, proper case selection, and skill development can expand access to minimally invasive coronary surgery.

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来源期刊

Current Opinion in Cardiology 医学-心血管系统

CiteScore

4.20

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Cardiology is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With fourteen disciplines published across the year – including arrhythmias, molecular genetics, HDL cholesterol and clinical trials – every issue also contains annotated reference detailing the merits of the most important papers.