Mujanovic Emir, Kabil Emir, Hadziselimovic Mehdin, Softic Muniba, Azabagic Azur, Bersland Jacob
Cardiovascular Clinic, University Clinical Center--Tuzla, Tuzla, Bosnia Herzegovina.
Heart Surg Forum. 2002;5(3):233-6.
A new cardiovascular center in Tuzla, Bosnia Herzegovina was opened for cardiac procedures in September 1998. In the first three years of operation, a total of 440 coronary artery bypass grafting (CABG) procedures were performed there. Off-pump coronary artery bypass (OPCAB) was emphasized as the main tool for surgical revascularization. Transit time flow measurement (TTFM) was used routinely to check graft patency. The purpose of this paper is to report on flowmetry results in the Tuzla CABG population.
All patients were considered candidates for both on-pump (ONCAB) and off-pump (OPCAB) CABG procedures. Approximately 60% of the procedures were performed as ONCAB and the rest as OPCAB. For all patients, TTFM was performed on all grafts.
Eighteen patients were converted from OPCAB to ONCAB. Revision was required for 1.8% of the grafts. All grafts were successfully revised and were patent at the time of wound closure.
We believe that TTFM is a crucial tool in CABG. It offers a reliable and inexpensive tool for quality assurance in coronary revascularization.
1998年9月，波斯尼亚和黑塞哥维那图兹拉的一个新的心血管中心开始开展心脏手术。在运营的头三年里，该中心共进行了440例冠状动脉旁路移植术（CABG）。非体外循环冠状动脉旁路移植术（OPCAB）被强调为手术血运重建的主要手段。常规使用渡越时间血流测量（TTFM）来检查移植血管的通畅情况。本文旨在报告图兹拉CABG患者群体的血流测量结果。
所有患者均被视为适合体外循环（ONCAB）和非体外循环（OPCAB）CABG手术的候选人。约60%的手术采用ONCAB，其余采用OPCAB。对所有患者的所有移植血管均进行了TTFM检查。
18例患者从OPCAB转为ONCAB。1.8%的移植血管需要进行修复。所有移植血管均成功修复，在伤口闭合时通畅。
我们认为TTFM是CABG中的关键工具。它为冠状动脉血运重建的质量保证提供了一种可靠且经济的工具。
