| 王亮 王海茜 王云 李晓东 刘旭东 顾继伟 马彦敏.冠状动脉支架植入术后行冠脉旁路移植术[J].,2014,14(1):121-122 |
| 冠状动脉支架植入术后行冠脉旁路移植术 |
| Coronary Artery Bypass Grafting Following Percutaneous Coronary Stenting |
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| DOI： |
| 中文关键词: 冠状动脉支架植入 冠状动脉旁路移植 非体外循环 体外循环 |
| 英文关键词: Percutaneous coronary intervention Coronary artery bypass Off-pump Extracorporeal circulation |
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| 中文摘要: |
| 目的：总结15 例冠状动脉支架植入术后行冠状动脉旁路移植术的临床经验。方法：回顾分析行冠状动脉支架植入术后行冠
状动脉旁路移植术15 例患者的资料，男10 例，女5 例，平均年龄（61± 5）岁。行冠状动脉支架植入术后再行冠状动脉旁路移植术
时间间隔（24± 4）月，冠状动脉内置入支架3-6 枚，左室射血分数为43 %-64 %，其中<50 %为3例。全组行体外循环下冠状动脉
旁路移植术3 例，行非体外循环心脏跳动下冠状动脉旁路移植术12 例。结果：全组共行动脉桥吻合13 支，静脉桥33 支；围术期
并发低心排综合征3 例，肺部感染4 例，胸腔内出血行胸腔闭式引流术2 例，本组患者无死亡病例。术后平均住院日（13± 4）天。
结论：对冠状动脉内支架植入术后再狭窄或（和）冠状动脉再血管化不足的病例进行冠状动脉旁路移植治疗，可使冠状动脉达到
充分再血管化，提高冠心病患者生活质量及预后。 |
| 英文摘要: |
| Objective: To review the clinical experience in 15 patients undergone coronary artery bypass grafting (CABG) after
percutaneous coronary intervention (PCI). Methods: 15 patients underwent CABG were reviewed. Of 10 males and 5 females with a
mean age of (61± 5). The mean periods between CABG and PCI were (24± 4) months. Left ventricle ejection fraction (EF) was 43%
-64%, and there was 3 cases with EF<50%. Among them, 3 cases performed with CABG under cardiopulmonary bypass (CPB), and 12
cases with off pump coronary artery bypass grafting (OPCAB). Results: The numbers of arterial grafts and venous grafts were 13 and 33
respectively. There were 3 cases with low output syndrome, 4 cases with pulmonary infection and 2 cases with Pleural effusion
undergoing closed thoracic drainage. There were no deaths after CABG, and the average postoperative length of stay was 13± 4 days. Conclusion: CABG surgery is safe and effective in patients with coronary artery diseases who underwent PCI to improve myocardial
blood flow. |
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