非体外循环冠状动脉旁路移植术治疗左冠状动脉主干严重狭窄
Off-pump coronary artery bypass surgery for left main coronary artery disease
摘要
目的 探讨左冠状动脉主干严重狭窄的高危患者行非体外循环冠状动脉旁路移植术 (OPCAB)的可行性。方法 对 35例冠状动脉主干严重狭窄患者进行了OPCAB ,术中采用心脏表面固定器和冠脉内分流栓 ,4例术前应用IABP。并与同期 34例冠状动脉主干严重狭窄患者进行传统体外循环冠状动脉旁路移植术 (cCABG)作对照。结果 平均搭桥 2 9根 ,无手术死亡 ,与cCABG组相比 ,术后呼吸机辅助、住院时间及主要并发症均明显减低 ,均痊愈出院。结论 左冠状动脉主干严重狭窄的高危患者接受OPCAB是安全和可行的。
出处
《广东医学》
CAS
CSCD
2003年第4期379-381,共3页
Guangdong Medical Journal
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