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[冠状动脉成形术失败后急诊冠状动脉搭桥手术的结果]

[Results of emergency coronary artery bypass surgery after failed coronary angioplasty].

作者信息

Imazeki T, Yokoyama M, Murai N, Kurimoto Y, Sakurada M, Simizu Y

机构信息

Department of Cardiovascular Surgery, Dokkyou University of Medicine, Koshigaya Hospital, Koshigaya, Japan.

出版信息

Kyobu Geka. 1995 Jun;48(6):467-71.

PMID:7602859
Abstract

In the past 7 years, 9 emergent or urgent coronary artery bypass operations after failed percutaneous transluminal angioplasty (PTCA) were performed among 947 (PTCA). Since the introduction of coronary perfusion catheter system for the support of coronary perfusion during PTCA we could reduce the number of emergent cases and these patients could be operated on semi-emergently and securely without endangering co-medical staffs in a hurry. It is also unnecessary to be on standby all the time when the PTCA is being undertaken. Two acute myocardial infarction cases died in the early phase of this study (operative mortality 22%) and none after the introduction of coronary perfusion system during PTCA.

摘要

在过去7年中,947例经皮腔内血管成形术(PTCA)失败后进行了9例急诊或紧急冠状动脉搭桥手术。自从引入冠状动脉灌注导管系统以在PTCA期间支持冠状动脉灌注以来,我们能够减少急诊病例的数量,这些患者可以在半紧急且安全的情况下接受手术,而不会匆忙危及医护人员。在进行PTCA时也无需一直待命。在本研究早期,有2例急性心肌梗死患者死亡(手术死亡率22%),在PTCA期间引入冠状动脉灌注系统后无死亡病例。

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[Results of emergency coronary artery bypass surgery after failed coronary angioplasty].[冠状动脉成形术失败后急诊冠状动脉搭桥手术的结果]
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