冠状动脉内膜切除术：近期趋势
Coronary Endarterectomy: Recent Trends.
作者信息
Ghatanatti Ravi, Teli Anita
机构信息
Consultant Cardiac Surgeon, Department of Cardiothoracic and Vascular Surgery, KLE's Dr Prabhakar Kore Hospital and MRC, Belgaum, Karnataka, India.
Assistant Professor, Department of Physiology, KLE University's Jawaharlal Nehru Medical College, Belgaum, Karnataka, India.
出版信息
J Clin Diagn Res. 2017 Aug;11(8):PE01-PE04. doi: 10.7860/JCDR/2017/27036.10339. Epub 2017 Aug 1.
Coronary Endarterectomy (CE) assures complete revascularization of the myocardium in case of diffusely diseased vessels and prevents residual ischemia. Recently cardiac surgeons are performing increasing number of coronary endarterectomy and it has evolved as an important adjuvant procedure in Coronary Artery Bypass Grafting (CABG). There are controversies regarding the efficiency of CE. CE is criticised for its higher rates of morbidity and mortality. At present the available evidence supports CE in Off Pump Coronary Artery Bypass surgery (OPCAB) and along with valvular procedures. Graft patency is better with open technique. Postoperative anticoagulation regimen though not uniform, the overall outcome remains the same. Therefore, it is important to focus on the current results to accept CE as a routine procedure like CABG.
对于弥漫性血管病变，冠状动脉内膜切除术（CE）可确保心肌完全血管重建，并预防残余缺血。近来，心脏外科医生实施冠状动脉内膜切除术的数量不断增加，它已发展成为冠状动脉旁路移植术（CABG）中的一项重要辅助手术。关于CE的有效性存在争议。CE因较高的发病率和死亡率而受到批评。目前，现有证据支持在非体外循环冠状动脉旁路移植术（OPCAB）以及瓣膜手术中应用CE。开放技术的移植物通畅性更好。术后抗凝方案虽不统一，但总体结果相同。因此，像接受CABG作为常规手术一样，关注当前结果对于接受CE至关重要。
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