期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

非体外循环心脏不停跳冠状动脉旁路移植术的临床应用 被引量：1

The Clinical Application of Off-pump Coronery Artery Bypass with a Beating Ieart
下载PDF
导出
摘要 目的 :分析并讨论微创冠状动脉旁路移植术 (OPCAB)临床应用的效果。方法 :使用心脏稳定器 ,在心脏不停跳的情况下完成冠状动脉搭桥术。结果 :本组 6例手术效果良好 ,无死亡及重大并发症。ICU时间 12h～ 4 8h ,住院时间 10d～ 12d。术后随访心绞痛消失 ,心功能恢复至Ⅰ～Ⅱ级。结论 :微创非体外循环心脏不停跳冠状动脉搭桥术临床应用效果良好 ,创伤小、并发症少、恢复快、死亡率低 ,住院时间、出血及输血量较常规CABG明显减少。尤其对搭桥高危病例手术优越性显著 ,随着手术指征的扩大 ,可适合大多数冠心病例 。 Objective:To discuss the clinical results of off-pump coronery artery bypass(OPCAB).Methods:6 patients received off-pump coronery artery bypass with a beating hearting,using Genzyme.Results:All patients survived and no severe complication was observed.The time of ICU stay was 12h～48h and the time in hospital was 10d～12d.After operation,the heart function improved and the angina sympotom dispeared.Conclusion:OPCAB is safe and has less postoperative complications.Compared with the CABG,it has the advantages of shorter hospital stay and less haemorrhage and blood transfution.The OPCAB is widely indicated,especially suited to the patients are old or have poor heart function.
作者 任启程 裴少华 朱晓松
机构地区 安徽省蚌埠市第一人民医院心血管外科
出处 《解剖与临床》 2002年第4期156-157,共2页 Anatomy and Clinics
关键词 非体外循环 心脏不停跳 冠状动脉旁路移植术 临床应用 冠心病 Coronary artery bypass Off-pump
分类号 R654.2 [医药卫生—外科学]
  • 相关文献

参考文献5

  • 1[1]Spooner TH, Hart Jc, Pym J. A two - year, there institution experience with the Medtronic Octopus; systematic surgery. Ann Thorac Surg, 1999,68(4): 1478～1481.
  • 2[2]Puksas JD, Thourani VH, Marshall JJ, et al. Clinical outaomes, angiographic patency, and resource utilitation in 200 consecutive off- pump coronary bypass patients. Ann Thorac Surg,2001,71(5): 1477～1484.
  • 3[3]Lancey RA, Soller BR, Vander Salm TJ. Off - pump versus on - pump coronary artery bypass surgery: a casematched comparison of clinical outcomes and costs. Heart Surg Forum,2000,3(4) :277～281.
  • 4[4]Bowles BJ, Lee JD, Dang CR, et al. Coronary artery bypass Performed without the use of cardiopulmonary bypass is associated with reduced cerebral microemboli and improved clinical results. Chest, 2001,119 (1): 25～ 30.
  • 5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

二级参考文献13

  • 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.

共引文献33

同被引文献3

  • 1Hsu RB, Chien CY, Wang SS,et al. Surgical revaseularization for acute total occlusion of left main coronary artery[J]. Tex Heart Inst J,2000,27:299-301.
  • 2Brann S, Martineau R,Cartier R. Left main coronary artery stenosis:early experience with SU cal revaseularization without cardiopulmonary bypass[J]. J Cardiovasc Surg, 2000,41:175-179.
  • 3赵强.微创冠状动脉搭桥术历史、现状和前景[J].现代心血管外科,2001,1(8).

引证文献1

二级引证文献1

解剖与临床
2002年 第4期

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