Coronary Artery Bypass Grafting: Case Histories of Significant Medical Advances

Amar Bhide, S. Datar, Fabio Villa
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Abstract

We describe how Coronary Artery Bypass Grafting (CABG, or more popularly, “bypass”) operations revolutionized the treatment of coronary disease (that can produce fatal heart attacks and debilitating angina). Specifically we chronicle the: 1) development of the foundational procedures and technologies that provided a base for CABG; 2) early CABG operations performed in the 1960s; 3) rapid – and controversial growth – that occurred in the US in the 1970s and, 4) emergence and rapid diffusion of the less invasive angioplasty alternative that slowed the growth of CABG in the last two decades of the 20th century.
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冠状动脉旁路移植术:重大医学进展的病例史
我们描述了冠状动脉旁路移植术(CABG,或者更通俗地说,“旁路”)手术如何彻底改变了冠状动脉疾病的治疗(冠状动脉疾病可导致致命的心脏病发作和衰弱性心绞痛)。具体来说,我们记录了:1)为CABG提供基础的基本程序和技术的发展;2) 20世纪60年代进行的早期CABG手术;3) 20世纪70年代在美国出现的快速且有争议的增长;4)在20世纪最后20年,侵入性较小的血管成形术的出现和迅速传播减缓了冠状动脉搭桥手术的增长。
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