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非体外循环冠状动脉搭桥手术的技术要点与陷阱:布法罗经验

Technical tips and pitfalls in OPCAB surgery: the buffalo experience.

作者信息

Bergsland J, D'Ancona G, Karamanoukian H, Ricci M, Schmid S, Salerno T A

机构信息

Center for Minimally Invasive and Robotic Heart Surgery, Kaleida Health, Buffalo, New York, USA.

出版信息

Heart Surg Forum. 2000;3(3):189-93.

PMID:11074971
Abstract

The Center for Minimally Invasive and Robotic Heart Surgery has performed more than 1,500 off-pump coronary artery bypass (OPCAB) procedures since 1995. The operation has changed significantly based on experience and development of new tools. These improvements have made the operations safer and applicable to more patients. No patients are presently scheduled for on-pump bypass surgery in our center. The purpose of this paper is to describe some of the problems and pitfalls we have experienced and how to avoid them.

摘要

自1995年以来,微创与机器人心脏手术中心已完成了1500多例非体外循环冠状动脉搭桥(OPCAB)手术。基于经验和新工具的发展,该手术有了显著变化。这些改进使手术更安全,适用于更多患者。目前我们中心没有患者安排进行体外循环搭桥手术。本文的目的是描述我们所经历的一些问题和陷阱以及如何避免它们。

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1
Technical tips and pitfalls in OPCAB surgery: the buffalo experience.非体外循环冠状动脉搭桥手术的技术要点与陷阱:布法罗经验
Heart Surg Forum. 2000;3(3):189-93.
2
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引用本文的文献

1
Wide sternal retraction may impede internal mammary artery graft flow and reduce myocardial function during off-pump coronary artery bypass grafting: presentation of two cases.在非体外循环冠状动脉搭桥术中,广泛的胸骨后缩可能会阻碍乳内动脉移植血管的血流并降低心肌功能:两例报告。
Interact Cardiovasc Thorac Surg. 2012 Jul;15(1):42-4. doi: 10.1093/icvts/ivs135. Epub 2012 Apr 11.
2
Must surgeons tell mitral valve repair candidates about a new percutaneous repair device that is only available elsewhere?外科医生是否必须告知二尖瓣修复手术候选人有一种新的经皮修复装置,而该装置仅在其他地方可用?
Ann Thorac Surg. 2011 Oct;92(4):1163-9. doi: 10.1016/j.athoracsur.2011.04.096.
3
Transit time flowmetry in coronary surgery--an important tool in graft verification.
冠状动脉手术中的通过时间血流测定法——移植物验证的重要工具。
Bosn J Basic Med Sci. 2007 Aug;7(3):275-8. doi: 10.17305/bjbms.2007.3059.
4
Intraoperative assessment and quantification of coronary artery graft patency performed on or off cardiopulmonary bypass.在体外循环或非体外循环下对冠状动脉移植血管通畅情况进行术中评估和定量分析。
J Extra Corpor Technol. 2007 Jun;39(2):75-80.