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无钛夹去骨游离内乳动脉采集技术,联合超声刀游离。

Clipless skeletonized internal mammary artery harvesting with harmonic technology.

机构信息

Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia University of Banja Luka, Faculty of Medicine, Banja Luka, Republic of Srpska, Bosnia & Herzegovina.

Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia.

出版信息

Multimed Man Cardiothorac Surg. 2023 May 22;2023. doi: 10.1510/mmcts.2023.015.

DOI:10.1510/mmcts.2023.015
PMID:37212423
Abstract

Since the introduction of the mammary artery harvesting procedure, electrocautery has been used as a standard method of care. However, mammary artery spasm, subadventitial haematoma and mammary artery damage due to clips dispositioning or high thermal energy injury have been recorded. To achieve a perfect mammary artery graft, we propose the usage of a high-frequency ultrasound device, usually recognized as a harmonic scalpel. It reduces thermal-related injuries, the use of clips and the risk of mammary artery spasm and/or dissection.

摘要

自采用乳腺动脉采集程序以来,电灼已被作为一种标准的护理方法。然而,乳腺动脉痉挛、内膜下血肿和因夹处置或高热能损伤导致的乳腺动脉损伤等情况时有发生。为了获得完美的乳腺动脉移植物,我们建议使用高频超声设备,通常被认为是一种谐波手术刀。它减少了与热相关的损伤、夹的使用以及乳腺动脉痉挛和/或夹层的风险。

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Clipless skeletonized internal mammary artery harvesting with harmonic technology.无钛夹去骨游离内乳动脉采集技术,联合超声刀游离。
Multimed Man Cardiothorac Surg. 2023 May 22;2023. doi: 10.1510/mmcts.2023.015.
2
Quicker yet safe: skeletonization of 1640 internal mammary arteries with harmonic technology in 965 patients.更快且安全:应用谐波技术对965例患者的1640条胸廓内动脉进行骨骼化处理
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Ultrastructural Investigations of Arterial Bypass Conduits after the Use of Different Harvesting Techniques Using an Electron Microscope.使用电子显微镜对不同取材技术后的动脉搭桥管道进行超微结构研究。
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Skeletonized internal mammary artery harvest with diathermy and cold dissection.采用电刀和冷解剖技术获取骨骼化胸廓内动脉。
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Clipless internal mammary artery harvesting for minimally invasive coronary artery bypass grafting using the shear-tip harmonic scalpel.使用剪切式谐波手术刀进行无夹取胸廓内动脉采集用于微创冠状动脉旁路移植术。
J Thorac Dis. 2024 Jun 30;16(6):3711-3721. doi: 10.21037/jtd-23-1810. Epub 2024 Jun 13.
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Coronary artery bypass grafting versus percutaneous coronary intervention in single-vessel left anterior descending artery disease: mid-term propensity matching study.
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