首页|期刊导航|南京医科大学学报（英文版）|Off-pump versus on-pump coronary artery bypass surgery for the treatment of left main with triple coronary artery disease
南京医科大学学报（英文版）2008，Vol.22Issue(3)：159-163,5.
Off-pump versus on-pump coronary artery bypass surgery for the treatment of left main with triple coronary artery disease
Off-pump versus on-pump coronary artery bypass surgery for the treatment of left main with triple coronary artery disease
摘要
Abstract
Objective:To obtain early results of off-pump coronary artery bypass grafting(OPCAB) in patients with significant left main coronary artery(LMCA) and triple vessels stenosis by comparing with those of a similar group undergoing conventional coronary artery bypass surgery(CCAB). Methods:Data for patients with significant LMCA and triple vessels stenosis who underwent CCAB or OPCAB were collected retrospectively between January I999 and May 2006. Non-randomized, retrospective data analysis included demographic and preoperative risk factors, operative details, clinical outcome and early follow-up. Results: The number of distal anastomosis and grafts varied from 3 to 6. The average number per patient was similar in the two groups (OPCAB group:3.76±0.98, CCAB group:3.81±1.02). Thirty-day mortality occurred to one patient in the OPCAB group whereas two early deaths were observed in the CCAB group but did not reach statistical significance (P＞0.05). The frequency of atrial fibrillation (AF), IABP usage, mediastinitis,re-operation for bleeding (or tamponade) were similar in the two groups (P＞0.05). Postoperative inotropic requirements, peak CKMB, ventilation time, blood loss, FFP, RBC transfusion need and the length of ICU-stay were all significantly lower in thc OPCAB group compared with CCAB group(P＜0.05).Conclusion: Significant LMCA and triple-vessel stenosis can safely and effectively undergo myocardial revascularization using OPCAB surgery. LMCA should no longer be seen as a contraindication to perform OPCAB grafting.关键词
left main coronary artery/ triple-vessel stenosis/ off-pump coronary artery bypass graftingKey words
left main coronary artery/ triple-vessel stenosis/ off-pump coronary artery bypass grafting分类
医药卫生引用本文复制引用
Zhibing Qiu,Xin Chen,Ming Xu,Kaihu Shi,Yinshuo Jiang,Liqiong Xiao..Off-pump versus on-pump coronary artery bypass surgery for the treatment of left main with triple coronary artery disease[J].南京医科大学学报（英文版）,2008,22(3):159-163,5.基金项目
This work was supported by the Fund of Social Development in Jiangsuprovince(NO:BS2006013). （NO:BS2006013）
