• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

使用骨骼化胃网膜右动脉的微创冠状动脉旁路移植术。

Minimally invasive coronary artery bypass grafting using the skeletonized right gastroepiploic artery.

作者信息

Sakai Hiroki, Yamauchi Akihiko, Tachibana Kazutoshi, Masuda Kaito, Sai Yoshun, Yoshino Kunihiko, Ito Joji, Narayama Kouhei, Kikuchi Keita

机构信息

Department of Cardiovascular Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan.

Department of Cardiovascular Surgery, Yuuai Medical Center, Tomishiro, Okinawa, Japan.

出版信息

JTCVS Tech. 2024 Sep 28;28:82-90. doi: 10.1016/j.xjtc.2024.09.016. eCollection 2024 Dec.

DOI:10.1016/j.xjtc.2024.09.016
PMID:39669358
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11632315/
Abstract

OBJECTIVE

To evaluate the clinical outcomes of right gastroepiploic artery use in minimally invasive coronary artery bypass grafting.

METHODS

A total of 428 patients who underwent minimally invasive coronary artery bypass grafting from February 2012 to February 2024 were included into this retrospective cohort study. The selection criteria for right gastroepiploic artery use included satisfactory artery size and length, significant stenosis (99% to 100%) of the right coronary artery, and unsuitable ascending aorta for partial clamping.

RESULTS

The study cohort comprised 70 men and 8 women, with an average age of 63.6 ± 10.5 years. The right gastroepiploic artery was used in 18.2% (78 out of 428) of cases, without the aorta being touched in all these cases. Total arterial revascularization was achieved in 93.6% of cases and complete revascularization was achieved in 98.7%. Notable postoperative outcomes included zero in-hospital mortality, an incidence of new-onset atrial fibrillation of 9.0%, and a median intensive care unit stay of 2 days. Surgical site infections occurred in 7.5% of patients.

CONCLUSIONS

The use of the right gastroepiploic artery in minimally invasive coronary artery bypass grafting is a viable option for achieving total arterial revascularization without touching the ascending aorta, enhancing the rate of optimal clinical outcomes.

摘要

目的

评估在微创冠状动脉旁路移植术中使用右胃网膜动脉的临床效果。

方法

本回顾性队列研究纳入了2012年2月至2024年2月期间接受微创冠状动脉旁路移植术的428例患者。使用右胃网膜动脉的选择标准包括动脉大小和长度合适、右冠状动脉严重狭窄（99%至100%）以及升主动脉不适合部分阻断。

结果

研究队列包括70名男性和8名女性，平均年龄为63.6±10.5岁。18.2%（428例中的78例）的病例使用了右胃网膜动脉，所有这些病例均未触及主动脉。93.6%的病例实现了全动脉血运重建，98.7%的病例实现了完全血运重建。显著的术后结果包括院内死亡率为零、新发房颤发生率为9.0%以及重症监护病房中位住院时间为2天。7.5%的患者发生了手术部位感染。

结论

在微创冠状动脉旁路移植术中使用右胃网膜动脉是实现全动脉血运重建且不触及升主动脉的可行选择，可提高最佳临床效果的发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c7/11632315/1c1f0eea8d48/fx5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c7/11632315/3c174ad4449e/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c7/11632315/e217f642b459/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c7/11632315/eb03dfcf9afb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c7/11632315/a83d5686d13a/fx3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c7/11632315/cfc763e6efd0/fx4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c7/11632315/1c1f0eea8d48/fx5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c7/11632315/3c174ad4449e/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c7/11632315/e217f642b459/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c7/11632315/eb03dfcf9afb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c7/11632315/a83d5686d13a/fx3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c7/11632315/cfc763e6efd0/fx4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c7/11632315/1c1f0eea8d48/fx5.jpg

相似文献

1
Minimally invasive coronary artery bypass grafting using the skeletonized right gastroepiploic artery.使用骨骼化胃网膜右动脉的微创冠状动脉旁路移植术。
JTCVS Tech. 2024 Sep 28;28:82-90. doi: 10.1016/j.xjtc.2024.09.016. eCollection 2024 Dec.
2
Total arterial revascularization with composite skeletonized gastroepiploic artery graft in off-pump coronary artery bypass grafting.非体外循环冠状动脉旁路移植术中使用复合带蒂大网膜动脉移植物进行全动脉血运重建。
J Thorac Cardiovasc Surg. 2004 Apr;127(4):1151-7. doi: 10.1016/j.jtcvs.2003.09.057.
3
Minimally invasive coronary artery bypass grafting with ultrasonically skeletonized internal thoracic artery.采用超声骨骼化胸廓内动脉的微创冠状动脉旁路移植术。
JTCVS Tech. 2022 May 18;14:107-113. doi: 10.1016/j.xjtc.2022.05.010. eCollection 2022 Aug.
4
Right gastroepiploic artery for revascularization of the right coronary territory in off-pump total arterial revascularization: strategies to improve patency.非体外循环下全动脉化血运重建术中用于右冠状动脉区域血运重建的胃网膜右动脉：提高通畅率的策略
Ann Thorac Surg. 2006 Jun;81(6):2135-41. doi: 10.1016/j.athoracsur.2006.01.043.
5
Minimally Invasive Multiple Coronary Artery Bypass Grafting with Composite Graft Using in situ Right Gastroepiploic and Radial Arteries.原位胃网膜右动脉和桡动脉复合移植物微创冠状动脉旁路移植术。
Ann Thorac Cardiovasc Surg. 2021 Oct 20;27(5):286-289. doi: 10.5761/atcs.nm.20-00241. Epub 2021 Jan 8.
6
Standard coronary artery bypass grafting and beating heart bypass. Indications and long-term results.标准冠状动脉搭桥术与不停跳心脏搭桥术。适应症及长期疗效。
Jpn J Thorac Cardiovasc Surg. 2000 Dec;48(12):789-94. doi: 10.1007/BF03218253.
7
Coronary artery bypass grafting with left internal mammary artery and right gastroepiploic artery, with and without bypass.使用左乳内动脉和右胃网膜动脉进行冠状动脉旁路移植术，有或无旁路。
Ann Thorac Surg. 2002 Feb;73(2):499-504. doi: 10.1016/s0003-4975(01)03335-5.
8
In situ skeletonized gastroepiploic artery grafting in hemodialysis patients.原位解剖胃网膜动脉旁路移植术在血液透析患者中的应用。
Gen Thorac Cardiovasc Surg. 2020 Nov;68(11):1319-1324. doi: 10.1007/s11748-020-01390-7. Epub 2020 May 23.
9
Skeletonized gastroepiploic artery as a composite graft for total arterial revascularization.带蒂大网膜动脉作为复合移植物用于全动脉血运重建。
Ann Thorac Surg. 2005 Jul;80(1):118-23. doi: 10.1016/j.athoracsur.2005.02.008.
10
Results of the Minimally Invasive Coronary Artery Bypass Grafting Angiographic Patency Study.微创冠状动脉旁路移植术血管造影通畅性研究结果。
J Thorac Cardiovasc Surg. 2014 Jan;147(1):203-8. doi: 10.1016/j.jtcvs.2013.09.016. Epub 2013 Oct 30.

本文引用的文献

1
The efficacy of minimally invasive coronary artery bypass grafting (mics cabg) for patients with coronary artery diseases and diabetes: a single center retrospective study.微创冠状动脉旁路移植术（mics cabg）治疗冠心病合并糖尿病患者的疗效：单中心回顾性研究。
J Cardiothorac Surg. 2024 Apr 18;19(1):244. doi: 10.1186/s13019-024-02717-8.
2
Adjunctive Technique for Proximal Anastomosis via Right Anterior Small Thoracotomy in Minimally Invasive Coronary Artery Bypass Grafting.微创冠状动脉旁路移植术中经右前小切口行近端吻合的辅助技术
Innovations (Phila). 2024 Mar-Apr;19(2):210-212. doi: 10.1177/15569845241237541. Epub 2024 Mar 19.
3
Minimally invasive coronary artery bypass grafting with ultrasonically skeletonized internal thoracic artery.
采用超声骨骼化胸廓内动脉的微创冠状动脉旁路移植术。
JTCVS Tech. 2022 May 18;14:107-113. doi: 10.1016/j.xjtc.2022.05.010. eCollection 2022 Aug.
4
Comparison of early outcomes associated with coronary artery bypass grafting for multi-vessel disease conducted using minimally invasive or conventional off-pump techniques: a propensity-matched study based on SYNTAX score.基于 SYNTAX 评分的多支血管病变行微创或传统非体外循环冠状动脉旁路移植术的早期结局比较：倾向评分匹配研究。
J Cardiothorac Surg. 2022 Jun 7;17(1):144. doi: 10.1186/s13019-022-01905-8.
5
Surgical Risk Factors for Ischemic Stroke Following Coronary Artery Bypass Grafting. A Multi-Factor Multimodel Analysis.冠状动脉搭桥术后缺血性卒中的手术危险因素。多因素多模型分析。
Front Cardiovasc Med. 2021 Jul 5;8:622480. doi: 10.3389/fcvm.2021.622480. eCollection 2021.
6
A Novel Technique of Endoscopic Vein Harvesting With Preserved Perivascular Tissue.一种保留血管周围组织的内镜静脉采集新技术。
Innovations (Phila). 2020 Sep/Oct;15(5):475-477. doi: 10.1177/1556984520948139. Epub 2020 Sep 16.
7
Minimally invasive coronary artery bypass grafting: useful routine option for coronary revascularization in selected cases.微创冠状动脉旁路移植术：在选择病例中作为冠状动脉血运重建的一种有用的常规选择。
Gen Thorac Cardiovasc Surg. 2020 Oct;68(10):1128-1133. doi: 10.1007/s11748-020-01336-z. Epub 2020 Mar 24.
8
Implementation of the aortic no-touch technique to reduce stroke after off-pump coronary surgery.实施主动脉非接触技术以降低不停跳冠状动脉手术后的中风发生率。
J Thorac Cardiovasc Surg. 2018 Aug;156(2):544-554.e4. doi: 10.1016/j.jtcvs.2018.02.111. Epub 2018 Apr 11.
9
Assistive Techniques for Proximal Anastomosis in Minimally Invasive Coronary Artery Bypass Grafting.微创冠状动脉旁路移植术中近端吻合的辅助技术
Innovations (Phila). 2017 May/Jun;12(3):224-226. doi: 10.1097/IMI.0000000000000366.
10
The Right Gastroepiploic Artery Graft for Coronary Artery Bypass Grafting: A 30-Year Experience.用于冠状动脉旁路移植术的右胃网膜动脉移植物：30年经验
Korean J Thorac Cardiovasc Surg. 2016 Aug;49(4):225-31. doi: 10.5090/kjtcs.2016.49.4.225. Epub 2016 Aug 5.