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非体外循环冠状动脉旁路移植术初探

Off-Pump Coronary Artery Bypass Grafting
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摘要 目的:报告非体外循环冠状动脉旁路移植术的临床应用和初步体会。方法:22例冠心病患者(男18例,女4例,年龄49—74岁。平均62.7岁)。均在全麻常温下经胸骨正中切口行OPCAB术,人均远端吻合口3.0±0.9个。绰果:全组1例死亡,其余恢复顺利,疗效满意。术后平均呼吸机辅助时间1194.7分钟,人均输血788.2ml,术后患者心绞痛症状均消失,心功能改善。结论:OPCAB安全、有效,是一种值得推广的治疗冠心病的微创手术方法。 Objective: To report the clinical application and preliminary experience of off- pump coronary bypass grafting ( OPCAB). Method: 22 patients with coronary artery diseases ( 18 male, 4 female; the ages ranging from 49 to 74 with an average 62.7) were included. They underwent OPCAB with general anesthesia, with an average of 3.0 ± 0.9 distal anastomosis per patient. Results: 1 patient died, the others got satisfactory surgical results. Conclusion: OPCAB is a safe and effective cardiac surgical method which is worthy of popularization.
出处 《华西医学》 CAS 2006年第1期70-71,共2页 West China Medical Journal
关键词 非体外循环 冠状动脉旁路移植术 心绞痛 心功能 Off- pump Coronary artery bypass grafting
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参考文献7

  • 1胡盛寿,郑哲,周玉燕.常规与非体外循环冠状动脉旁路移植术治疗冠状动脉多支病变的对比分析[J].中国胸心血管外科临床杂志,2000,7(4):221-224. 被引量:34
  • 2Abu-Omar Y,Taggart DP.Off-pump coronary artery bypass grafting[J].LANCET,2002,360:327-329.
  • 3Grundeman PF,Borst C,van Herwaarden JA,et al.Hemodynamic changes during displacement of the beating heart by the Utrecht Octopus method[J].Ann Thorac Surg,1997,63:s88-92.
  • 4Porat E,Sharony R,Ivry S,et al.Hemodynamic changes and right heart support during vertical displacement of the beating heart[J].Ann Thorac Surg,2000,69:1188-91.
  • 5Okazaki Y,Takarabe K,Murayama J,et al.Coronary endothelial damage during off-pump CABG related to coronary-clamping and gas insufflation[J].Eur J Cardiothorac Surg,2001,19(6):834-9.
  • 6何忠良,Cremer J.非体外循环和常规冠状动脉旁路移植术疗效对比[J].中华胸心血管外科杂志,2001,17(6):368-368. 被引量:17
  • 7Luis Robert Gerola,Enio Buffolo,Waldir Jasbik,et al.Off-Pump Versus On-Pump Myocardial Revascularization in Low-Risk Patients With One or Two Vessel Disease:Perioperative Results in a Multicenter Randomaized Controlled Trial[J].Ann Thorac Surg,2004,77:569-73.

二级参考文献15

  • 111,Kappert U, Gulielmos V, Knaut M, et al. The application of the Octopus stabilizingsystem for the treatment of high risk patients with coronary artery disease. Eur JCardiothorac Surg, 1999, 16(Suppl 2):7-9.
  • 213,Soltoski P, Salerno T, Levinsky L, et al. Conversion to cardiopulmonary bypass inoff-pump coronary artery bypass grafting:its effect on outcome. J Card Surg, 1998,13(5):328-334.
  • 314,Diegeler A, Matin M, Falk V, et al. Coronary bypass grafting without cardiopulmonarybypass-technical considerations, clinical results, and follow-up. Thorac Cardiovasc Surg,1999, 47(1):14-18.
  • 4 2,Benetti FJ, Naselli G, Wood M, et al. Direct myocardial revascularization withoutextracorporeal circulation:Experience in 700 patients. Chest, 1991, 100(2):312-316. 3,Buffolo E, de Andrade CS, Branco JN, et al. Coronary artery bypass grafting withoutcardiopulmonary bypass. Ann Thorac Surg, 1996, 61(1):63-66.
  • 5 4,Bouchard D, Cartier R. Off-pump revascularization of multivessel coronary arterydisease has a decreased myocardial infarction rate. Eur J Cardiothorac Surg, 1998,14(Suppl 1):20-24.
  • 6 5,Kshettry VR, Flavin TF, Emery RW, et al. Does multivessel,off-pump coronary arterybypass reduce postoperative morbidity?Ann Thorac Surg,2000, 69(6):1725-1730.
  • 7 6,Lee JD, Dang CR, Taoka S, et al. Coronary artery bypass grafting performed with orwithout a bypass pump:early results. Hawaii Med J, 2000, 59(2):54-56.
  • 8 7,Arom KV, Emery RW, Flavin TF, et al. Cost-effectiveness of minimally invasivecoronary artery bypass surgery. Ann Thorac Surg, 1999,68(4):1562-1566.
  • 9 8,Boyd WD, Desai ND, Del Rizzo DF, et al. Off-pump surgery decreases postoperativecomplications and resource utilization in the elderly. Ann Thorac Surg, 1999,68(4):1490-1493.
  • 10 9,Reichenspurner H, Boehm D, Detter C, et al. Economic evaluation of differentminimally invasive procedures for the treatment of coronary artery disease. Eur JCardiothorac Surg, 1999, 16(Suppl 2):76-79.

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