文章摘要

文章信息/Info

Title:: Total arterial coronary artery bypass grafts for myocardial revascularization: Report of 74 cases

作者:: 王正清; 孔祥荣; 刘晓程; 刘立新; 牛波; 天津泰达国际心血管病医院心外科，天津 300457

Author(s):: WANG Zhengqing; KONG Xiangrong; LIU Xiaocheng; LIU Lixin; NIU Bo; Department of Cardiac Surgery, TEDA International Cardiovascular Hospital,Tianjin 300457, China

关键词:: 冠状动脉旁路移植; 全动脉; 乳内动脉; 挠动脉

Keywords:: coronary artery bypass graft; total artery; internal mammary artery; radial artery

分类号:: R543.3

DOI:: -

文献标识码:: A

摘要:: 目的介绍全动脉化冠状动脉旁路移植(CABG)的早期效果和经验。方法 74例全动脉化 CABG的患者。74例患者分别在体外循环(CPB)和非CPB下行CABG。应用左乳内动脉(IMA) 1例，左IMA 加单挠动脉（RA）14例，左IMA加双RA 54例，双IMA加双RA 3例，双RA 2例。人均搭桥4.7 (1～7) 支，序贯吻合66例，“Y”和“T”型吻合分别为15和6例。结果围手术期无死亡。本组患者随访5～18 (平均12.2) 个月，均恢复良好，无心绞痛症状再发。多普勒和16排CT示血管桥无狭窄通畅。结论全动脉化CABG取得好的早期效果，是一种值得积极推广的方法。

Abstract:: AIM To evaluate the early outcome of total arterial coronary artery bypass grafts myocardial revascularization. METHODS Seventyfour (59 male and 15 female) patients with mean age of 61.5 years underwent coronary bypass operation using total arterial grafts, 68 receiving the surgical procedure under on pumping and 6 off pumping. Left internal mammary artery (IMA) was used in 1 case, left IMA and single radial artery (RA) in 14，left IMA and bilateral RA in 54, bilateral IMA and RA in 3 and bilateral RA in 2. Mean conduits were 4.7 (17) grafts. Anastomosis of sequence was performed in 66 cases, Ycomposite graft in 15 cases and Tcomposite graft in 6 incases. RESULTS There was no death in early postoperative period. No angina pectoris recurred during the followup study for 518 (mean 12.2) months. Uultrasonongraphy and CT(lightspeed16) scan showed that artery grafts were patent in all patients. CONCLUSION Application of IMA and RA in coronary surgery can achieve satisfactory results.

参考文献/References

［1］ Muneretto C, Bisleri G, Negri A. Left internal thoracic arteryradial artery composite grafts as the technique of choice for myocardial revascularization in elderly patients: a prospective randomized evaluate［J］. J Thorac Cardiovasc Surg,2004,127(1):179-184.

［2］ Tatoulis J, Buxton BF, Fuller JA. The radial artery in coronary reoperations［J］. Eur J Cardiothorac Surg,2001,19(3):266-272.

［3］ Barner HB, Sundt TM 3rd, Bailey M, et al. Midterm results of complete arterial revascularization in more than 1,000 patients using an internal thoracic artery/radial artery T graft［J］. Ann Surg,2001,234(4):447-452.

［4］于洪泉，任华，王振捷，等. 双侧乳内动脉在冠状动脉旁路移植术中的应用［J］. 中国胸心血管外科临床杂志，2002，9（4）：240-242.

［5］ Tatoulis J, Royse AG, Buxton BF, et al. The radial artery in coronary surgery: a 5year experienceclinical and angiographic results［J］. Ann Thorac Surg,2002,73(1):143-147.

［6］ Dietl CA，Benoit CH. Radial artery graft for coronary revascularization: technical considerations［J］. Ann Thorac Surg,1995,60:102-110.

［7］陈敏，巩固，董辉，等. 非体外循环和体外循环冠脉架桥的效果和资源利用的比较［J］. 心脏杂志，2003，15(2)；144-146.

［8］袁莉，王世瑞，江岩，等. 非体外循环冠状动脉旁路移植围术期cTnI、CK及CKMB的变化［J］. 心脏杂志，2004，16(3)：228-231.

我们的网站为什么显示成这样？

全动脉化冠状动脉旁路移植74例(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

文章信息/Info

参考文献/References

备注/Memo

常用功能

导航/Navigate

工具/Tools

统计/Statistics