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一站式杂交技术治疗冠状动脉多支病变的研究进展 被引量：3

Advances in Hybrid Coronary Revascularization
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摘要 冠状动脉多支病变的杂交治疗是指小切口不停跳冠状动脉旁路移植术结合经皮冠状动脉介入治疗(PCI)。杂交手术发展已历经10余年,近年来,随着杂交导管室的建立,一站式杂交成为可能,一站式杂交与分期手术比较可以术中即刻判断左乳内动脉-左前降支的通畅率,可以在左乳内动脉桥的基础上行复杂PCI治疗,同时可实现完全再血管化治疗。与不停跳冠状动脉旁路移植术比较,可减少机械通气时间、ICU滞留时间及减少血液制品的应用,使患者满意度增加。 Hybrid coronary revascularization（HCR） combines a minimally invasive sternal-sparing,off-pump left internal mammary artery-left anterior descending coronary artery anastomosis with percutaneous coronary intervention to non-left anterior descending coronary arteries.We compared outcomes of 2-staged hybrid versus 1-stop HCR,and HCR versus traditional off-pump coronary artery bypass grafting for the treatment of multivessel coronary artery disease.HCR is safe with low mortality rates,low morbidity,and shorter intensive care unit and hospital stay.Other clear advantages are superior cosmetic results and faster recovery.
作者 王国宏 王吉云 马长生
机构地区 首都医科大学附属北京同仁医院心血管中心
出处 《心血管病学进展》 CAS 2013年第4期492-494,共3页 Advances in Cardiovascular Diseases
关键词 冠状动脉多支病变 杂交治疗 冠状动脉旁路移植术 multivessel coronary artery disease hybrid coronary revascularization coronary artery bypass grafting
分类号 R654.2 [医药卫生—外科学]
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参考文献15

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同被引文献34

  • 1赵强,夏利民,陈安清,王哲,徐德民.杂交技术在冠状动脉外科中的应用[J].中国微创外科杂志,2006,6(6):421-422. 被引量：17
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  • 4Jaffery Z,Kowalski M,Weaver WD,et al.A meta-analysis of randomized control trials comparing minimally invasive direct coronary bypass grafting versus percutaneous coronary intervention for stenosis of the proximal left anterior descending artery.Eur J Cardiothorac Surg,2007,31(4):691-697.
  • 5Kim KB,Cho KR,Jeong DS.Midterm angiographic follow-up after off-pump coronary artery bypass:serial comparison using early,1-year,and 5-year postoperative angiograms.J Thorac Cardiovasc Surg,2008,135(2):300-307.
  • 6Hannan EL,Racz M,Holmes DR,et al.Comparison of coronary artery stenting outcomes in the eras before and after the introduction of drug-eluting stents.Circulation,2008,117(16):2071-2078.
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心血管病学进展
2013年 第4期

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