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用于胸腹主动脉瘤修复的左心转流术:技术要点

Left heart bypass for thoracoabdominal aortic aneurysm repair: technical aspects.

作者信息

Schepens Marc A A M

机构信息

AZ St. Jan, Brugge, Belgium.

出版信息

Multimed Man Cardiothorac Surg. 2016 Jan 28;2016. doi: 10.1093/mmcts/mmv039. Print 2016.

DOI:10.1093/mmcts/mmv039
PMID:26825797
Abstract

There are different surgical techniques for providing circulatory support during the repair of thoracoabdominal aortic aneurysms. They all aim at reducing the afterload of the heart and the preservation of distal organ perfusion. Partial or total extracorporeal circulation with or without cooling and left heart bypass (LHB) are actually the most used surgical approaches. The objective of this study was to describe and comment on the technical aspects of the LHB. We briefly describe our results and put them into perspective based on the current literature.

摘要

在胸腹主动脉瘤修复过程中,有不同的手术技术来提供循环支持。它们都旨在降低心脏后负荷并维持远端器官灌注。部分或全身体外循环(带或不带降温)以及左心转流(LHB)实际上是最常用的手术方法。本研究的目的是描述和评论LHB的技术方面。我们简要描述我们的结果,并根据当前文献对其进行分析。

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1
Left heart bypass for thoracoabdominal aortic aneurysm repair: technical aspects.用于胸腹主动脉瘤修复的左心转流术:技术要点
Multimed Man Cardiothorac Surg. 2016 Jan 28;2016. doi: 10.1093/mmcts/mmv039. Print 2016.
2
[Correction of thoracic and thoracoabdominal aortic aneurysms. Central cannulation technique].[胸主动脉和胸腹主动脉瘤的矫正。中心插管技术]
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Surgical repair of thoracoabdominal aortic aneurysms.胸腹主动脉瘤的外科修复术。
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Transesophageal echocardiography in the management of left atrio-femoral bypass during thoracoabdominal aortic aneurysm repair: a case report.经食管超声心动图在胸腹主动脉瘤修复术中左心房-股动脉旁路手术管理中的应用:一例报告
Can J Anaesth. 2002 Dec;49(10):1081-3. doi: 10.1007/BF03017907.
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The use of left heart bypass in the repair of thoracoabdominal aortic aneurysms: current techniques and results.左心转流在胸腹主动脉瘤修复中的应用:当前技术与结果
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A versatile extracorporeal circuit for use during repair of descending and thoracoabdominal aortic aneurysms in high-risk patients with cardiac and/or pulmonary dysfunction: a novel approach to a significant perfusion management dilemma.一种用于高危心脏和/或肺功能不全患者降主动脉和胸腹主动脉瘤修复术中的多功能体外循环回路:解决重大灌注管理难题的新方法。
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Aortic cannulation through the aneurysm for repair of thoracoabdominal aortic aneurysms.通过动脉瘤进行主动脉插管以修复胸腹主动脉瘤。
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Left heart bypass reduces paraplegia rates after thoracoabdominal aortic aneurysm repair.左心转流术可降低胸腹主动脉瘤修复术后的截瘫发生率。
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Use of left heart bypass in the surgical repair of thoracoabdominal aortic aneurysms.左心转流在胸腹主动脉瘤手术修复中的应用。
Ann Vasc Surg. 1995 Jul;9(4):327-38. doi: 10.1007/BF02139403.

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Review: perspectives on renal and visceral protection during thoracoabdominal aortic aneurysm repair.综述:胸腹主动脉瘤修复术中肾脏和内脏保护的观点
Indian J Thorac Cardiovasc Surg. 2019 Jun;35(Suppl 2):179-185. doi: 10.1007/s12055-018-0757-5. Epub 2018 Dec 14.
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J Vis Surg. 2018 Mar 23;4:59. doi: 10.21037/jovs.2018.02.15. eCollection 2018.
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