摘要
目的探讨桡动脉在全动脉化冠脉搭桥术中的临床应用效果。方法22例患者采用乳内动脉和桡动脉行全动脉化冠脉搭桥手术,“不接触血管技术”游离桡动脉,与冠状动脉对角支、钝缘支、前降支、右冠状动脉等单独或序贯吻合,共搭桥31支。术后应用钙通道阻滞剂防止桡动脉痉挛。结果22例手术均顺利完成,痊愈出院,无围术期心肌梗塞,术后心肌缺血改善,无手部缺血并发症。随访2月～3年,无心绞痛复发,手部功能正常。结论桡动脉作为血管桥材料在全动脉化冠脉搭桥术中应用效果良好。
Objective To assess the outcome of radial artery （RA） used in total arterial coronary artery bypass grafting （CABG） for myocardial revascularization. Methods 22 patients underwent CABG using total arterial grafts （RA grafts and internal mammary artery grafts）. Radial arteries were harvested with ＂non-touch＂ technique. 31 distal anastomoses were performed using RA grafts. RA was directly or sequentially grafted to diagonal artery, obtuse marginal artery, anterior descending artery or right coronary artery. Calcium channel blockers were administered to prevent spasm of RA grafts after operation. Results All the procedures were successfully done without perioperative myocardial infraction or hand ischemia problem. There was no recurrence of RI within 2 months to 3 years fellow-up. Conclusion RA graft in total arterial coronary artery bypass is safe and effective.
出处
《中国现代手术学杂志》
2005年第6期409-410,共2页
Chinese Journal of Modern Operative Surgery
关键词
桡动脉
冠状动脉旁路移植术
全动脉化
radial artery
coronary artery bypass
total arterial grafts
