期刊文献+

微创冠状动脉搭桥治疗多支冠脉病变临床效果及桥血管通畅率分析 被引量:9

Clinical outcome and graft patency of minimally invasive coronary artery bypass grafting for treatment of multi-vessel disease
下载PDF
导出
摘要 目的 总结分析微创冠状动脉搭桥技术治疗多支冠脉病变的临床效果及移植血管通畅率.方法 2016年12月至2017年4月,12例多支冠状动脉血管病变的患者于我科接受微创冠状动脉搭桥治疗,对患者围手术期资料及治疗结果进行分析,总结微创冠状动脉搭桥的治疗效果.结果 12例患者均顺利接受微创冠状动脉搭桥治疗.术中共完成远端吻合口26个.术中经左前外侧胸部小切口在直视下获取左侧乳内动脉与前降支搭桥,内窥镜获取下肢大隐静脉连接于升主动脉后与其他冠状动脉搭桥.无患者手术中转为开胸手术.术后呼吸机使用时间(7.6±4.2)h,监护室停留时间(22.4±8.2)h.10例患者未输血,占83.3%(10/12).造影提示25(25/26,96.2%)个桥吻合口通畅.住院期间无死亡、心肌梗死、脑卒中等发生.结论 微创冠状动脉搭桥技术治疗多支冠脉病变安全有效,术后早期造影显示桥血管通畅率满意. Objective This study was to investigate clinical outcome and graft patency of minimally invasive coronary artery bypass grafting procedure as novel treatment for multi-vessel disease.Methods From Dec 2016 to Apr 2017,the data of 12 patients underwent MICS CABG were analyzed.Perioperative data,clinic outcome and graft patency data were collected and analyzed.Results 12 patients underwent successful MICS CABG.Postoperative mechanical ventilation time was (7.6±4.2)h,mean intensive care unit stay time was (22.4±8.2)h.10 patients (10/12,83.3%) had not transfusion of blood product.Postoperative angiography revealed 25/26 (96.2%) patent anastomosis.No death,myocardial infarction or stroke occurred during hospitalization.Conclusion MICS CABG is safe and effective treatment for multi-vessel disease with good clinical outcome and postoperative graft patency.
出处 《中国心血管病研究》 CAS 2017年第9期818-820,共3页 Chinese Journal of Cardiovascular Research
关键词 微创技术 不停跳冠状动脉搭桥术 冠状动脉造影 Minimally invasive technique Off pump coronary artery bypass graft Coronary angiography
  • 相关文献

参考文献3

二级参考文献22

  • 1高杰,苏丕雄,张希涛,刘岩,安向光,颜钧,顾松.急诊冠状动脉搭桥术的围手术期处理[J].中国心血管病研究,2006,4(2):99-101. 被引量:4
  • 2苗齐,刘兴荣,王振捷,张恒,张超纪,马国涛,曹丽华.冠状动脉旁路移植手术315例临床分析[J].中国心血管病研究,2006,4(7):534-535. 被引量:3
  • 3[5]Jones EL,Weintraub WS.The importantce of completenesss of revascularization during long-term follow-up after coronary artery operations.J Thorac Cardiovasc Surg,1996,112:227.
  • 4[6]Cukingnan RA,Carey.JS,Witting JH,et al.Influence of complete coronary revascularizatiou on relief of angina.J Thorac Cardiovasc Surg,1980,79:188.
  • 5[7]Calafiore AM,Di Giammarco G.Left anterior descending coronary artery grafting through left anterior small thoracotomy without cardiopulmonary.Ann Thoras Surg,1996,61:1658.
  • 6[10]Jin R,Hiratzka LF,Grunkemeier GL,et al.Aborted off-pump coronary artery bypass patients have much worse outcomes than on-pump or successful off-pump patients.Circulation,2005,112 (Suppl 9):S1332-1337.
  • 7Kolessov VI. Mammary artery-coronary anastomosis as method of treatment for angina pectoris. J Thorae Cardiovasc Surg, 1967,54 (4) :535 -544.
  • 8Benetti FJ, Ballester C, Sani G, et al. Video assisted coronary bypass surgery. J Card Surg, 1995,10(6) :620 -625.
  • 9Greenspun HG, Adourian UA, Fonger JD, et al. Minimally invasive direct coronary artery bypass (MIDCAB) : Surgical techniques and anesthetic considerations. J Cardiothorac Vase Anesth, 1996, 10 (4) :507 -509.
  • 10Detter C, Reiehenspurner H, Boehm DH, et al. Minimally invasive direct coronary artery bypass grafting (MIDCAB) and off-pump coronary artery bypass grafting (OPCAB): Two techniques for beating heart surgery. Heart Surg Forum, 2002,5(2) :157 -162.

共引文献9

同被引文献55

引证文献9

二级引证文献20

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部