摘要
目的探讨非体外循环下经胸骨下端小切口行冠状动脉旁路移植术联合经皮冠状动脉介入治疗(杂交手术)在冠状动脉粥样硬化性心脏病(冠心病)治疗中临床应用价值。方法 21例患者中,2例患者因急性心肌梗死先行支架植入后行冠状动脉旁路移植术,其余19例患者先行冠状动脉旁路移植术再行支架植入。采用胸骨下端小切口,在非体外循环下行左侧乳内动脉与前降支吻合,其余狭窄血管内植入药物涂层支架。结果 21患者手术后无急性心肌梗死、脑卒中等事件的发生,均顺利康复出院;术后随访20例,随访期间无因血管事件再次入院,连续超声心动图结果无明显差别,冠状动脉心脏双源计算机断层扫描(CAT)结果显示桥血管及支架均通畅。结论杂交技术安全可靠,在冠心病治疗中有很高的临床应用价值。
Objectives To research the clinical value of hybrid in treatment of coronary artery disease.Methods Hy?brid were used on21patients,stents implantation were used first in2patients because of acute myocardial infarction,and the others were treated by coronary artery bypass grafting(CABG)first.Anastomoses were constructed under direct vision through a lower half mini-sternotomy incision with beating heart.Non-left anterior descending coronary artery lesions were then treated percutaneously using drug-eluting stents.Results There were no acute myocardial infarction,stoke happened after operation and all patients discharged smoothly.Twenty patients were followed up after leaving hos?pital.There were no patients required rehospitalization by cardiovascular events,and there were no significant differ?ence in echocardiography.Results of coronary artery enhancement computed tomography(CT)showed:both saphe?nous vein bypass graft(SVBG)and stent blood vessel were unobstructed.Conclusions Hybrid is reliable and has high clinical value in treatment of coronary artery disease.
作者
王刚
李建
王丽君
王静
谢爱平
张涛
WANG Gang;LI Jian;WANG Li-jun;WANG Jing;XIE Ai-ping;ZHANG Tao(Department of Cardiovascular Center,Qingdao Fuwai Hospital,Qingdao,Shandong 266034,China)
出处
《岭南心血管病杂志》
2017年第6期712-714,754,共4页
South China Journal of Cardiovascular Diseases
关键词
杂交
冠状动脉旁路移植术
支架植入
hybrid
coronary artery bypass graft
stents implantation
