骨骼化乳內動脈在冠狀動脈旁路移植術中的應用_《中國胸心血管外科臨床雜志》

作者：

張爾永 , 石應康 , 蒙煒等

四川大學華西醫院胸心血管外科，成都 610041;

關鍵詞：

冠狀動脈旁路移植術骨骼化乳內動脈心臟外科

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的總結骨骼化乳內動脈(skeletonized internal mammary artery)應用于冠狀動脈旁路移植術(CABG)的早期結果和經驗。方法 2004年1月至2007年6月，139例患者均于靜脈復合全身麻醉、在胸部正中切口體外循環下施行CABG；應用骨骼化方法采集左乳內動脈，并與前降支吻合。結果遠端吻合口數3.6±17個/例，無胸腔積液和胸骨感染；院內死亡2例，死亡率1.4%(2/139), 1例死于腦卒中，1例死于呼吸窘迫綜合征；發生并發癥8例，并發癥發生率5.8%(8/139),其中肺部感染3例，切口皮下感染2例，低心排血量綜合征3例，均通過抗感染、換藥、血管活性藥物治療等措施治愈。生存患者隨訪2~34個月(206±59個月)，隨訪率80.3% (110/137) ；所有患者無心絞痛復發，心功能恢復至I~II級(NYHA). 結論在CABG中應用骨骼化乳內動脈安全、可靠，早期療效滿意。

引用本文： 張爾永,石應康,蒙煒等. 骨骼化乳內動脈在冠狀動脈旁路移植術中的應用. 中國胸心血管外科臨床雜志, 2007, 14(6): 415-. doi: 復制

1.	Yusuf S, Zucker D, Peduzzi P, et al. Effect of coronary artery bypass graft surgery on survival: overview of 10-year results from randomised trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration.Lancet, 1994, 344(8922):563-570.
2.	Lytle BW, Blackstone EH, Loop FD, et al. Two internal thoracic artery grafts are better than one.J Thorac Cardiovasc Surg, 1999,117(5):855-872.
3.	Jones EL, Lattouf OM, Weintraub WS. Catastrophic consequences of internal mammary artery hypoperfusion.J Thorac Cardiovasc Surg, 1989,98(5 Pt 2):902-907.
4.	Loop FD, Lytle BW, Cosgrove DM, et al. J. Maxwell Chamberlain memorial paper. Sternal wound complications after isolated coronary artery bypass grafting: early and late mortality, morbidity, and cost of care. Ann Thorac Surg, 1990,49(2):179-186.
5.	Mueller XM, Tinguely F, Tevaearai HT, et al. Pain pattern and left internal mammary artery grafting. Ann Thorac Surg, 2000, 70(6):2045-2049.
6.	Keeley SB. The skeletonized internal mammary artery. Ann Thorac Surg,1987,44(3):324-325.
7.	熊利華，華平，李佳，等.乳內動脈skeleton取材法在冠狀動脈旁路移植術中的應用.中國胸心血管外科臨床雜志，2007, 14(4): 252-255.
8.	Takami Y, Ina H. Effects of skeletonization on intraoperative flow and anastomosis diameter of internal thoracic arteries in coronary artery bypass grafting. Ann Thorac Surg, 2002,73(5):1441-1445.
9.	Deja MA, Wo′s S, Gotba KS, et al. Intraoperative and laboratory evaluation of skeletonized versus pedicled internal thoracic artery.Ann Thorac Surg, 1999, 68(6):2164-2168.
10.	De Paulis R, de Notaris S, Scaffa R, et al.The effect of bilateral internal thoracic artery harvesting on superficial and deep sternal infection: The role of skeletonization. J Thorac Cardiovasc Surg, 2005, 129(3):536-543.
11.	Wimmer-Greinecker G, Yosseef-Hakimi M, Rinne T, et al. Effect of internal thoracic artery preparation on blood loss, lung function, and pain. Ann Thorac Surg, 1999, 67(4):1078-1082.
12.	Raja SG, Dreyfus GD. Internal thoracic artery: to skeletonize or not to skeletonize? Ann Thorac Surg,2005,79(5):1805-1811.
13.	李儒正,天野篤,廣瀨仁,等. 超聲刀在骨骼化動脈血管橋采取中的應用.中國心血管病研究雜志, 2006,4(6):429-431.
14.	Higami T, Yamashita T, Nohara H, et al. Early results of coronary grafting using ultrasonically skeletonized internal thoracic arteries. Ann Thorac Surg, 2001,71(4):1224-1228.
15.	Nishida H, Tomizawa Y, Endo M, et al. Coronary artery bypass with only in situ bilateral internal thoracic arteries and right gastroepiploic artery. Circulation, 2001, 104(12 Suppl 1):I 76-I 80.
16.	Calafiore AM, Vitolla G, Iaco AL, et al. Bilateral internal mammary artery grafting: midterm results of pedicled versus skeletonized conduits.Ann Thorac Surg, 1999,67(6):1637-1642.

1. 　Yusuf S, Zucker D, Peduzzi P, et al. Effect of coronary artery bypass graft surgery on survival: overview of 10-year results from randomised trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration.Lancet, 1994, 344(8922):563-570.
2. 　Lytle BW, Blackstone EH, Loop FD, et al. Two internal thoracic artery grafts are better than one.J Thorac Cardiovasc Surg, 1999,117(5):855-872.
3. 　Jones EL, Lattouf OM, Weintraub WS. Catastrophic consequences of internal mammary artery hypoperfusion.J Thorac Cardiovasc Surg, 1989,98(5 Pt 2):902-907.
4. 　Loop FD, Lytle BW, Cosgrove DM, et al. J. Maxwell Chamberlain memorial paper. Sternal wound complications after isolated coronary artery bypass grafting: early and late mortality, morbidity, and cost of care. Ann Thorac Surg, 1990,49(2):179-186.
5. 　Mueller XM, Tinguely F, Tevaearai HT, et al. Pain pattern and left internal mammary artery grafting. Ann Thorac Surg, 2000, 70(6):2045-2049.
6. 　Keeley SB. The skeletonized internal mammary artery. Ann Thorac Surg,1987,44(3):324-325.
7. 　熊利華，華平，李佳，等.乳內動脈skeleton取材法在冠狀動脈旁路移植術中的應用.中國胸心血管外科臨床雜志，2007, 14(4): 252-255.
8. 　Takami Y, Ina H. Effects of skeletonization on intraoperative flow and anastomosis diameter of internal thoracic arteries in coronary artery bypass grafting. Ann Thorac Surg, 2002,73(5):1441-1445.
9. 　Deja MA, Wo′s S, Gotba KS, et al. Intraoperative and laboratory evaluation of skeletonized versus pedicled internal thoracic artery.Ann Thorac Surg, 1999, 68(6):2164-2168.
10. 　De Paulis R, de Notaris S, Scaffa R, et al.The effect of bilateral internal thoracic artery harvesting on superficial and deep sternal infection: The role of skeletonization. J Thorac Cardiovasc Surg, 2005, 129(3):536-543.
11. 　Wimmer-Greinecker G, Yosseef-Hakimi M, Rinne T, et al. Effect of internal thoracic artery preparation on blood loss, lung function, and pain. Ann Thorac Surg, 1999, 67(4):1078-1082.
12. 　Raja SG, Dreyfus GD. Internal thoracic artery: to skeletonize or not to skeletonize? Ann Thorac Surg,2005,79(5):1805-1811.
13. 　李儒正,天野篤,廣瀨仁,等. 超聲刀在骨骼化動脈血管橋采取中的應用.中國心血管病研究雜志, 2006,4(6):429-431.
14. 　Higami T, Yamashita T, Nohara H, et al. Early results of coronary grafting using ultrasonically skeletonized internal thoracic arteries. Ann Thorac Surg, 2001,71(4):1224-1228.
15. 　Nishida H, Tomizawa Y, Endo M, et al. Coronary artery bypass with only in situ bilateral internal thoracic arteries and right gastroepiploic artery. Circulation, 2001, 104(12 Suppl 1):I 76-I 80.
16. 　Calafiore AM, Vitolla G, Iaco AL, et al. Bilateral internal mammary artery grafting: midterm results of pedicled versus skeletonized conduits.Ann Thorac Surg, 1999,67(6):1637-1642.

《中國胸心血管外科臨床雜志》

骨骼化乳內動脈在冠狀動脈旁路移植術中的應用

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《中國胸心血管外科臨床雜志》

骨骼化乳內動脈在冠狀動脈旁路移植術中的應用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

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