一种用于主动脉瘤手术的新型支持方法：离心式左心转流联合氧合器和热交换器。

A New Supportive Method for Aortic Aneurysm Surgery: Centrifugal Left Heart Bypass Combined with an Oxygenator and a Heat Exchanger.

作者信息

Aomi Shigeyuki, Hashimoto Akimasa, Tagusari Osamu, Nishida Hiroshi, Nomura Minoru, Kondoh Izumi, Kodaka Keiko, Koyanagi Hitoshi

机构信息

Departments of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical College, Tokyo, JapanAnesthesiology, The Heart Institute of Japan, Tokyo Women's Medical College, Tokyo, Japan.

出版信息

Artif Organs. 1996 May;20(5):700-703. doi: 10.1111/j.1525-1594.1996.tb04506.x.

DOI:10.1111/j.1525-1594.1996.tb04506.x

PMID:28868697

Abstract

A new supportive method of centrifugal left heart bypass with oxygenation was performed in 25 patients and compared with standard left heart bypass in 45 patients. Femoro-femoral bypass was selected in another 6 patients because of the presence of a left atrial adhesion. Intraoperative complications related to standard left heart bypass, hypoxia, hypothermia, and ventricular fibrillation, were eliminated by using this method. This supportive method maintained good hemodynamics and improved the surgical result of extended thoracoabdominal aortic replacement. Hospital deaths decreased from 6.7% to 3.2%.

摘要

对25例患者实施了一种新的带氧合的离心式左心转流支持方法，并与45例接受标准左心转流的患者进行了比较。另外6例患者因存在左心房粘连而选择了股-股转流。采用该方法消除了与标准左心转流相关的术中并发症、缺氧、低温和心室颤动。这种支持方法维持了良好的血流动力学，并改善了胸腹主动脉广泛置换术的手术效果。医院死亡率从6.7%降至3.2%。