Demirtas M, Tarcan S, Sungu U
Centre de Chirurgie Cardio-Vasculaire et Thoracique d'Istanbul, Turquie.
Ann Chir. 1994;48(3):237-42.
From January 1989 until April 1990, 472 consecutive patients were operated for coronary artery bypass grafting. The patients were classified into three different groups. In group I, 412 patients were operated without endarterectomy. Group II consisted of 37 cases operated with endarterectomy-bypass to 41 vessels. Group III consisted of 23 cases of endarterectomy combined with patch-plasty-bypass to 24 vessels. The length of the segment endarterectomized was 25 to 70 mm (mean 37.86 +/- 12.18 mm). Peri-operative myocardial infarction occurred in 19 cases in group I (4.61%), 6 cases in group II (16.21%), and 3 cases in group III (13.04%). The percentage of IABP utilization was 2.91% in group I; 10.81% in group II; 8.69% in group III. The hospital mortality for group I, group II and group III was 3.88%; 8.10% and 8.69%. Mean follow-up was 16.4 months for 72% of patients. In 5 cases of group I (1.80%), in 8 cases of group II (27.58%) and in one case of group III (5.55%), myocardial infarction occurred in the late post-operative period. Late mortality was 1.44% for group I; 17.24% for group II and 5.55% for group III. There was no statistically significant difference between groups II and III, but the late results of group III are probably better.
从1989年1月至1990年4月，连续472例患者接受了冠状动脉旁路移植术。这些患者被分为三个不同的组。在第一组中，412例患者在未进行内膜切除术的情况下接受了手术。第二组由37例患者组成，他们接受了内膜切除术并旁路移植至41支血管。第三组由23例患者组成，他们接受了内膜切除术并联合补片成形术旁路移植至24支血管。内膜切除段的长度为25至70毫米（平均37.86 +/- 12.18毫米）。围手术期心肌梗死在第一组中发生19例（4.61%），第二组中发生6例（16.21%），第三组中发生3例（13.04%）。主动脉内球囊反搏（IABP）的使用率在第一组中为2.91%；第二组中为10.81%；第三组中为8.69%。第一组、第二组和第三组的医院死亡率分别为3.88%、8.10%和8.69%。72%的患者平均随访时间为16.4个月。在第一组的5例患者（1.80%）、第二组的8例患者（27.58%）和第三组的1例患者（5.55%）中，术后晚期发生了心肌梗死。第一组的晚期死亡率为1.44%；第二组为17.24%，第三组为5.55%。第二组和第三组之间没有统计学上的显著差异，但第三组的晚期结果可能更好。
