非体外循环下多支冠状动脉搭桥术的当前实践与结果
Current practice and outcomes of off-pump multivessel coronary artery bypass.
作者信息
Sun Xiumei, Lim Roger Michael, Hill Peter C, Haile Elizabeth, Corso Paul J, Garcia Jorge M
机构信息
Section of Cardiac Surgery, Department of Surgery, Washington Hospital Center, Washington, DC 20010-2975, USA.
出版信息
Asian Cardiovasc Thorac Ann. 2009 Aug;17(4):362-7. doi: 10.1177/0218492309341710.
Outcomes of off-pump multivessel coronary artery bypass were compared with those of the on-pump procedure. From July 2001 to June 2006, 3,637 patients with multivessel coronary disease underwent off-pump coronary artery bypass, and 3,586 patients had on-pump coronary artery bypass in our center. The rates of operative mortality, permanent stroke, renal failure and perioperative myocardial infarction were significantly lower in the off-pump group, and these patients required fewer blood transfusions, shorter durations of ventilatory support, and shorter hospital stays. However, the patients who underwent on-pump coronary artery bypass were considered more high-risk and tended to have more complex procedures.
对非体外循环多支冠状动脉搭桥术与体外循环手术的结果进行了比较。2001年7月至2006年6月，在我们中心，3637例多支冠状动脉疾病患者接受了非体外循环冠状动脉搭桥术，3586例患者接受了体外循环冠状动脉搭桥术。非体外循环组的手术死亡率、永久性卒中、肾衰竭和围手术期心肌梗死发生率显著较低，这些患者需要的输血较少，通气支持时间较短，住院时间也较短。然而，接受体外循环冠状动脉搭桥术的患者被认为风险更高，手术往往更复杂。
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