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哪种技术适用于冠状动脉搭桥手术后急性心肌梗死的管理,是补救性经皮冠状动脉介入治疗还是心脏直视手术?一项病例系列研究。

Which technique is suitable for management of acute myocardial infarction following coronary artery bypass surgery, rescue percutaneous coronary intervention or open heart surgery? A case-series studies.

作者信息

Sadeghi Mohsen Mirmohammad, Hashemi Mohammad, Rabbani Majid, Gharipour Mojgan, Nilfroush Peyman, Majidi Elham, Farahamand Niloufar, Sadeghi Poya Mirmohammad

机构信息

Cardiac Surgery; Hypertension Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran;.

出版信息

Acta Biomed. 2014 Dec 17;85(3):277-80.

PMID:25567467
Abstract

One of the serious complications followingcoronary artery bypass surgery is postoperative acute myocardial infarction commonly due to graft thrombosis, kinking, or spasm. Two recommended approaches for management of this event includeRescue percutaneous coronary intervention (PCI) and urgent open heart surgery. In the present case series, we described and compared early and long-term results of rescue PCI and reoperation in patients with three-vessel coronary artery disease undergoing CABG postoperatively and suffered acute myocardial infarction.

摘要

冠状动脉搭桥手术后的严重并发症之一是术后急性心肌梗死,通常是由于移植血管血栓形成、扭结或痉挛所致。针对这一情况推荐的两种处理方法包括挽救性经皮冠状动脉介入治疗(PCI)和紧急心脏直视手术。在本病例系列中,我们描述并比较了接受冠状动脉搭桥手术(CABG)后发生急性心肌梗死的三支血管冠状动脉疾病患者进行挽救性PCI和再次手术的早期及长期结果。

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