Spanos Konstantinos, Saleptsis Vasileios, Karathanos Christos, Rousas Nikolaos, Athanasoulas Athanasios, Giannoukas Athanasios D
Department of Vascular Surgery, Faculty of Medicine, University Hospital of Larissa, School of Health Sciences, University of Thessaly, Larissa, Greece.
Department of Vascular Surgery, Faculty of Medicine, University Hospital of Larissa, School of Health Sciences, University of Thessaly, Larissa, Greece
Angiology. 2014 Aug;65(7):563-7. doi: 10.1177/0003319713504819. Epub 2014 Sep 26.
We reviewed the literature for studies investigating the outcomes of combined 1-stage coronary artery bypass grafting (CABG) and abdominal aortic aneurysm (AAA) open repair (OR) procedures. An electronic search of the English literature was conducted using the PubMed, EMBASE, and Cochrane databases. Age, coronary heart disease severity, AAA size, mean duration from CABG to AAA OR procedures, details of each procedure, mortality, and morbidity rates were analyzed. Between 1994 and 2012, 12 studies (256 patients) with 1-stage treatment fulfilled the inclusion criteria and were analyzed. There were 20 early (30 days) deaths, accounting for a 30-day mortality rate of 7.8%. The early morbidity was 53% (136 of 256). One-stage treatment when necessary can be undertaken with acceptable mortality and reasonable morbidity rates considering the complexity of both the operations. Nowadays, endovascular AAA repair is preferred over OR. The outcomes of combined cardiac surgery and endovascular AAA repair have not been extensively evaluated.
我们查阅了相关文献，以研究一期冠状动脉旁路移植术（CABG）与腹主动脉瘤（AAA）开放修复术（OR）联合手术的结果。使用PubMed、EMBASE和Cochrane数据库对英文文献进行了电子检索。分析了年龄、冠心病严重程度、AAA大小、从CABG到AAA OR手术的平均持续时间、每个手术的细节、死亡率和发病率。1994年至2012年期间，12项采用一期治疗的研究（256例患者）符合纳入标准并进行了分析。有20例早期（30天内）死亡，30天死亡率为7.8%。早期发病率为53%（256例中的136例）。考虑到两种手术的复杂性，必要时进行一期治疗可获得可接受的死亡率和合理的发病率。如今，血管腔内AAA修复术比开放修复术更受青睐。心脏手术与血管腔内AAA修复术联合手术的结果尚未得到广泛评估。
