非体外循环与体外循环冠状动脉旁路移植术

Off-pump versus on-pump coronary artery bypass grafting.

作者信息

Halkos Michael E, Puskas John D

机构信息

Division of Cardiothoracic Surgery, Emory University Hospital-Midtown, Emory University School of Medicine, 550 Peachtree Street, Medical Office Tower, Atlanta, GA 30308, USA.

出版信息

Surg Clin North Am. 2009 Aug;89(4):913-22, ix. doi: 10.1016/j.suc.2009.06.015.

DOI:10.1016/j.suc.2009.06.015

PMID:19782844

Abstract

Off-pump coronary artery bypass is a safe and effective method of coronary revascularization that avoids the use of cardiopulmonary bypass. Randomized trials, typically enrolling low-risk patients, have shown comparable mortality and reduced morbidity between off-pump and on-pump coronary artery bypass. Larger retrospective analyses suggest improved mortality and a lower incidence of adverse events in patients undergoing off-pump coronary artery bypass. This article reviews the available literature comparing outcomes of patients undergoing on- and off-pump coronary artery bypass surgery.

摘要

非体外循环冠状动脉搭桥术是一种安全有效的冠状动脉血运重建方法，可避免使用体外循环。随机试验通常纳入低风险患者，结果显示非体外循环冠状动脉搭桥术与体外循环冠状动脉搭桥术在死亡率方面相当，且发病率更低。更大规模的回顾性分析表明，接受非体外循环冠状动脉搭桥术的患者死亡率有所改善，不良事件发生率降低。本文回顾了比较接受体外循环和非体外循环冠状动脉搭桥手术患者结局的现有文献。