非体外循环冠状动脉旁路移植术中近端吻合的新型手术方法。
Novel surgical method of proximal anastomosis in off-pump coronary artery bypass grafting.
作者信息
Chen Xin, Chen Xujun, Shi Kaihui, Xu Ming, Wang Liming, Jiang Yingshuo
机构信息
Department of Thoracic & Cardiovascular Surgery, Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu, China.
出版信息
Circ J. 2009 Jul;73(7):1342-3. doi: 10.1253/circj.cj-09-0055. Epub 2009 May 29.
BACKGROUND
Cerebral embolization as a result of aortic manipulation has emerged as an important risk factor for the incidence of stroke after off-pump coronary artery bypass grafting (OPACB).
METHODS AND RESULTS
A new surgical technique for proximal anastomosis without using a side-biting clamp or any proximal anastomotic device in OPACB has been developed and successfully used for proximal anastomosis between a great saphenous vein or radial artery graft and the aorta in OPCAB of 138 patients, with good short-term results.
CONCLUSIONS
This novel technique proximal anastomosis in OPACB can be completed in a safe, easy and economical fashion.
背景
主动脉操作导致的脑栓塞已成为非体外循环冠状动脉旁路移植术（OPACB）后中风发生率的一个重要危险因素。
方法与结果
已开发出一种新的手术技术，用于在OPACB中不使用侧咬钳或任何近端吻合装置进行近端吻合，并已成功用于138例OPCAB患者的大隐静脉或桡动脉移植物与主动脉之间的近端吻合，短期效果良好。
结论
这种OPACB近端吻合的新技术可以安全、简便且经济地完成。
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