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术中移植物评估及自体冠状动脉成像

Intraoperative graft assessment and imaging of native coronary arteries.

作者信息

Di Giammarco Gabriele, Marinelli Daniele

机构信息

Department of Neuroscience, Imaging and Clinical Sciences, University "G. d'Annunzio", Chieti, Italy.

Clinica Cardiochirurgica Ospedale SS.Annunziata, Via dei Vestini s.n.c., 66100 Chieti, Italy.

出版信息

Indian J Thorac Cardiovasc Surg. 2018 Dec;34(Suppl 3):297-301. doi: 10.1007/s12055-018-0697-0. Epub 2018 Aug 11.

DOI:10.1007/s12055-018-0697-0
PMID:33060952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7525909/
Abstract

The evaluation of native coronary arteries in cardiac surgery represents a useful tool to detect coronary artery stenosis, identify the target artery, and choose the best anastomotic site. Intraoperative graft assessment is a fundamental step of coronary artery bypass grafting. It is able to reduce graft failure related to technical error, improving both short- and long-term outcome of patients submitted to surgical myocardial revascularization. Herein procedures of graft assessment are described, reporting their strengths and limitations.

摘要

心脏手术中对自身冠状动脉的评估是检测冠状动脉狭窄、识别靶血管以及选择最佳吻合部位的一项有用工具。术中移植物评估是冠状动脉旁路移植术的一个基本步骤。它能够减少与技术失误相关的移植物失败,改善接受外科心肌血运重建患者的短期和长期预后。本文描述了移植物评估的步骤,并阐述了其优缺点。

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Intraoperative graft assessment and imaging of native coronary arteries.术中移植物评估及自体冠状动脉成像
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本文引用的文献

1
Intraoperative graft verification in coronary surgery.冠状动脉手术中的术中移植物验证
J Cardiovasc Med (Hagerstown). 2017 May;18(5):295-304. doi: 10.2459/JCM.0000000000000401.
2
Intraoperative imaging to detect coronary stenosis in no-angiography patients.术中成像用于检测未行血管造影患者的冠状动脉狭窄。
Asian Cardiovasc Thorac Ann. 2017 Jul;25(6):446-449. doi: 10.1177/0218492316647216. Epub 2016 Apr 26.
3
Intraoperative graft verification in coronary surgery: increased diagnostic accuracy adding high-resolution epicardial ultrasonography to transit-time flow measurement.冠状动脉手术中的术中移植物验证:将高分辨率心外膜超声检查添加到通过时间流量测量中可提高诊断准确性。
Eur J Cardiothorac Surg. 2014 Mar;45(3):e41-5. doi: 10.1093/ejcts/ezt580. Epub 2013 Dec 12.
4
Transit-time flow predicts outcomes in coronary artery bypass graft patients: a series of 1000 consecutive arterial grafts.经时间测定的血流量可预测冠状动脉旁路移植术患者的预后:连续 1000 例动脉移植物的系列研究。
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5
Predicting early coronary artery bypass graft failure by intraoperative transit time flow measurement.通过术中通过时间流量测量预测早期冠状动脉旁路移植术失败
Ann Thorac Surg. 2007 Dec;84(6):1928-33. doi: 10.1016/j.athoracsur.2007.07.040.
6
Predictive value of intraoperative transit-time flow measurement for short-term graft patency in coronary surgery.术中通过时间血流测量对冠状动脉手术中移植物短期通畅性的预测价值。
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7
Prediction of graft flow impairment by intraoperative transit time flow measurement in off-pump coronary artery bypass using arterial grafts.在非体外循环冠状动脉旁路移植术中使用动脉移植物通过术中渡越时间血流测量预测移植物血流受损情况。
Ann Thorac Surg. 2005 Aug;80(2):594-8. doi: 10.1016/j.athoracsur.2005.02.047.
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Immediate flow reserve of Y thoracic artery grafts: an intraoperative flowmetric study.
J Thorac Cardiovasc Surg. 2003 Oct;126(4):1076-9. doi: 10.1016/s0022-5223(03)00122-3.
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Flow measurement in coronary surgery.冠状动脉手术中的流量测量。
Heart Surg Forum. 1999;2(2):121-4.
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Validation of a new transit time ultrasound flowmeter in man.
Eur J Vasc Endovasc Surg. 1996 Jul;12(1):91-6. doi: 10.1016/s1078-5884(96)80282-6.