Gohra H, Furukawa S, Oda T, Esato K
Department of Surgery, Saiseikai Yamaguchi General Hospital.
Kyobu Geka. 1991 May;44(5):396-8.
Two successful cases undergone operative transluminal coronary angioplasty (OTCA) as an adjunct to coronary artery bypass grafting were reported. We performed retrograde OTCA for LAD with sequential stenotic lesions in one case and for Cx with such lesions in another. Postoperative coronary angiograms showed dilatation of the second stenosis and sufficient flow of the proximal branches to the bypass grafts. For the coronary artery with sequential stenotic lesions, OTCA is a beneficial technique for complete revascularization and shortening of aortic cross clamp time.
报告了两例成功进行经皮腔内冠状动脉成形术（OTCA）作为冠状动脉旁路移植术辅助手段的病例。其中一例，我们对左前降支（LAD）有连续性狭窄病变的患者进行了逆行OTCA；另一例，对回旋支（Cx）有此类病变的患者进行了逆行OTCA。术后冠状动脉造影显示，第二处狭窄得到扩张，近端分支向旁路移植血管的血流充足。对于有连续性狭窄病变的冠状动脉，OTCA是实现完全血运重建和缩短主动脉阻断时间的有益技术。
