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应用左乳内动脉加桡动脉行全动脉心肌再血管化
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作者 张永 颜钧 +5 位作者 汤楚中 耿博 张希涛 顾松 张云 韩薇 《中国医药导刊》 2000年第4期41-42,共2页
目的:介绍应用左乳内动脉加桡动脉行全动脉化旁路移植的初步临床经验。临床资料:本组30例病人中男25例,女5例,年龄58±8岁,术前心绞痛分级(CCS)Ⅱ级10例,Ⅲ级14例,Ⅳ级6例。有心肌梗死病史者4例,曾行PTCA者4例。术前冠状动脉造影显... 目的:介绍应用左乳内动脉加桡动脉行全动脉化旁路移植的初步临床经验。临床资料:本组30例病人中男25例,女5例,年龄58±8岁,术前心绞痛分级(CCS)Ⅱ级10例,Ⅲ级14例,Ⅳ级6例。有心肌梗死病史者4例,曾行PTCA者4例。术前冠状动脉造影显示单支病变5例;双支病变15例;三支病变10例;合并左主干病变2例。方法:23例在微温(32~34℃)体外循环(CPB)下手术,应用4:1温血停跳液保护心肌。7例在非体外循环心脏不停跳下手术,均把左乳内动脉(LIMA)吻合至左前降支,其它支均应用桡动脉(RA)做吻合。术中常规应用静脉硝酸甘油防止冠状动脉及乳内动脉痉挛,地尔硫(艹卓)0.5~1.0μg·kg^(-1)·h^(-1)防止RA痉挛。转出ICU前改口服硝酸酯制剂及钙拮抗剂至术后半年。结果:全组病人共移植血管67根,其中LIMA桥30根,RA桥37根。23例应用CPB者体外循环时间(89±26)min,主动脉阻断时间(52±1)min。全组无手术死亡,无围手术期心肌梗死,术后并发症右下叶肺不张1例,切口感染1例,余病人均顺利恢复。结论:应用左乳内动脉加桡动脉所达到的全动脉化冠状动脉旁路移植术,其术后近期结果满意。 展开更多
关键词 冠状动脉移路移植术 左乳内动脉 动脉
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ANGIOGRAPHIC STUDY ON THE PATENCY OF SINGLE VERSUS SEQUENTIAL VENOUS GRAFT BEFORE REDO CORONARY ARTERY BYPASS SURGERY
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作者 陈长志 陆佩中 《Journal of Shanghai Second Medical University(Foreign Language Edition)》 2003年第1期37-40,共4页
Objective:To compare the long-term patency and longevity of the single and sequential ve-nous graft.Methods:The coronary arterial angiographic data for 300 redo coronary bypass grafting(CABG) were collected.Among them... Objective:To compare the long-term patency and longevity of the single and sequential ve-nous graft.Methods:The coronary arterial angiographic data for 300 redo coronary bypass grafting(CABG) were collected.Among them 106 cases had both single(159) and sequential(118) grafts.Results:The oc-clusive and narrowness rate for the single grafts versus sequential grafts were:1 year,2% vs 2%;5 years,3% vs 4%;10years,18% vs 19%;15 years,60% vs 68%;and 23 years,76% vs 81% ,respectively.The differences were not significant in general.Conclusion:Sequential anastomosis itself does not has any adverse affects on short-term and long-term patency of the venous graft and its longevity in CABG operations in general. 展开更多
关键词 coronary artery bypass grafting vein graft patency
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