Harrer J, Zácek P, Lonský V, Dominik J, Brzek V, Knap J, Harrerová L
Department of Cardiac Surgery, University Hospital, Charles University, Faculty of Medicine, Hradec Králové.
Acta Medica (Hradec Kralove). 1996;39(4):155-8.
We present our technique of performing endarterectomy of coronary arteries by means of injecting cardioplegic solution into the plane of dissection of the endarterium. This simple and gentle technique in combination with manual endarterectomy helps in separation of the core far into the periphery of the diseased vessel and thus helps to perform revascularization in patients with diffuse atherosclerotic changes. During the last 6 years (1991-1996) endarterectomy in coronary revascularization was used in 116 cases (it was 5.7 % (116/2031) of all myocardial revascularization procedures). On right coronary artery endarterectomy was used in 82 patients. Mortality rate in our group of patients was 4.88 % (4/82) and perioperative myocardial infarction developed in 4.88 % (4/82). According to our own experience with this technique of endarterectomy on right coronary artery we are convinced that in desperate patients with diffuse coronary artery disease our method can bring better and wider application of surgical treatment.
我们介绍了一种通过向动脉内膜剥离平面注射心脏停搏液来进行冠状动脉内膜切除术的技术。这种简单且温和的技术与手动内膜切除术相结合，有助于将病变血管核心部分向周边更远的地方分离，从而有助于对弥漫性动脉粥样硬化改变的患者进行血运重建。在过去6年（1991 - 1996年）中，116例患者在冠状动脉血运重建中采用了内膜切除术（占所有心肌血运重建手术的5.7%（116/2031））。在右冠状动脉内膜切除术中，有82例患者使用了该技术。我们这组患者的死亡率为4.88%（4/82），围手术期心肌梗死发生率为4.88%（4/82）。根据我们自己在右冠状动脉内膜切除术这项技术上的经验，我们确信，对于患有弥漫性冠状动脉疾病的绝望患者，我们的方法能够使手术治疗得到更好、更广泛的应用。
