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老年心脏手术的技术解决方案。

Technological solutions for cardiac surgery in the elderly.

作者信息

Nir Rony-Reuven, Bolotin Gil

机构信息

Cardiovascular Surgery, Rambam Health Care Campus and the Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.

出版信息

Rambam Maimonides Med J. 2013 Jul 25;4(3):e0020. doi: 10.5041/RMMJ.10120. Print 2013 Jul.

DOI:10.5041/RMMJ.10120
PMID:23908870
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3730749/
Abstract

The current review addresses contemporary technological advances in cardiac surgery performed on octogenarian patients, namely off-pump coronary artery bypass grafting (CABG), proximal anastomosis device, routine use of intraoperative epiaortic ultrasound, proximal anastomosis without clamping, transcatheter aortic valve implantation (TAVI), and brain protection during cardiac surgery.

摘要

本综述探讨了针对八旬患者进行心脏手术的当代技术进展，即非体外循环冠状动脉旁路移植术（CABG）、近端吻合装置、术中主动脉超声的常规使用、无钳夹近端吻合、经导管主动脉瓣植入术（TAVI）以及心脏手术期间的脑保护。

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1
Technological solutions for cardiac surgery in the elderly.老年心脏手术的技术解决方案。
Rambam Maimonides Med J. 2013 Jul 25;4(3):e0020. doi: 10.5041/RMMJ.10120. Print 2013 Jul.
2
[TECHNOLOGICAL SOLUTIONS FOR THE IMPROVEMENT OF OUTCOMES IN CARDIAC SURGERY OF OCTOGENARIAN PATIENTS].[改善老年患者心脏手术预后的技术解决方案]
Harefuah. 2017 Sep;156(9):600-603.
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Transcatheter aortic valve implantation and off-pump coronary artery bypass surgery: an effective hybrid procedure in selected patients.经导管主动脉瓣植入术与非体外循环冠状动脉搭桥手术：一种适用于特定患者的有效杂交手术。
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[Comparison of Aortic Valve Replacement Combined with Coronary Artery Bypass Grafting and Transcatheter Aortic Valve Implantation Combined with Off-pump Coronary Artery Bypass Grafting].主动脉瓣置换术联合冠状动脉旁路移植术与经导管主动脉瓣植入术联合非体外循环冠状动脉旁路移植术的比较
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Complete revascularization is not a prerequisite for success in current transcatheter aortic valve implantation practice.在当前经导管主动脉瓣植入术实践中，完全血运重建并不是成功的必要条件。
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Efficacy of intraoperative epiaortic ultrasound scanning for preventing stroke after coronary artery bypass surgery.术中主动脉超声扫描预防冠状动脉搭桥术后卒中的疗效
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Concomitant therapy: off-pump coronary revascularization and transcatheter aortic valve implantation.联合治疗：非体外循环冠状动脉血运重建术和经导管主动脉瓣植入术。
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Aortic and mitral valve surgery on the beating heart is lowering cardiopulmonary bypass and aortic cross clamp time.心脏不停跳下的主动脉瓣和二尖瓣手术正在缩短体外循环和主动脉阻断时间。
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本文引用的文献

1
Novel emboli protection cannula during cardiac surgery: first animal study.心脏手术期间新型栓子保护套管：首次动物研究。
Asian Cardiovasc Thorac Ann. 2014 Jan;22(1):25-30. doi: 10.1177/0218492312467543. Epub 2013 Jul 11.
2
Transapical vs. transfemoral aortic valve implantation: Which approach for which patient, from a surgeon's standpoint.经心尖与经股动脉主动脉瓣植入术：从外科医生的角度看，哪种方法适用于哪类患者。
Ann Cardiothorac Surg. 2012 Jul;1(2):216-9. doi: 10.3978/j.issn.2225-319X.2012.07.10.
3
Clinical outcome and quality of life in octogenarians following transcatheter aortic valve implantation (TAVI) for symptomatic aortic stenosis.经导管主动脉瓣植入术（TAVI）治疗症状性主动脉瓣狭窄后 80 岁以上患者的临床转归和生活质量。
Int J Cardiol. 2013 Sep 20;168(1):281-6. doi: 10.1016/j.ijcard.2012.09.079. Epub 2012 Nov 10.
4
Prospective Evaluation of the St. Jude Medical Aortic Connector for Aortic-to-Autologous Vessel Graft Anastomoses.圣犹达医疗主动脉连接器用于主动脉与自体血管移植吻合术的前瞻性评估。
Innovations (Phila). 2005 Winter;1(2):79-82. doi: 10.1097/01.imi.0000190492.41439.8c.
5
Transcatheter versus surgical aortic-valve replacement in high-risk patients.经导管主动脉瓣置换术与外科主动脉瓣置换术在高危患者中的比较。
N Engl J Med. 2011 Jun 9;364(23):2187-98. doi: 10.1056/NEJMoa1103510. Epub 2011 Jun 5.
6
Meta-analysis on the use of the Heartstring anastomotic device to prevent stroke in patients undergoing off-pump coronary artery bypass grafting.Meta 分析使用 Heartstring 吻合装置预防不停跳冠状动脉旁路移植术患者的中风。
Eur J Cardiothorac Surg. 2011 Nov;40(5):1236-40. doi: 10.1016/j.ejcts.2011.02.022. Epub 2011 Mar 21.
7
A percutaneous aortic device for cerebral embolic protection during cardiovascular intervention.经皮主动脉装置，用于心血管介入期间的脑栓塞保护。
J Vasc Surg. 2011 Jul;54(1):174-181.e1. doi: 10.1016/j.jvs.2010.11.109. Epub 2011 Jan 14.
8
Is off-pump coronary artery bypass grafting superior to conventional bypass in octogenarians?非体外循环冠状动脉旁路移植术在 80 岁以上患者中优于常规旁路手术吗？
J Thorac Cardiovasc Surg. 2011 Jan;141(1):81-90. doi: 10.1016/j.jtcvs.2010.09.012. Epub 2010 Nov 4.
9
Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery.经导管主动脉瓣植入术治疗不能手术的主动脉瓣狭窄患者。
N Engl J Med. 2010 Oct 21;363(17):1597-607. doi: 10.1056/NEJMoa1008232. Epub 2010 Sep 22.
10
Emerging approaches of transcatheter valve repair/insertion.经导管瓣膜修复/植入术的新方法。
Cardiol Res Pract. 2010 Jul 25;2010:540749. doi: 10.4061/2010/540749.