中国组织工程研究与临床康复2011，Vol.15Issue(44)：8313-8316,4.DOI:10.3969/j.issn.1673-8225.2011.44.036
CT血管造影分析体外循环与非体外循环冠状动脉旁路移植后的桥血管通畅率
Analysis on graft patency after off-pump and conventional coronary arterial bypass grafting by computed tomography angiography
摘要
Abstract
BACKGROUND: Off-pump coronary artery bypass graft surgery (OPCAB) has been performed for many years and its use isincreasing frequently, but it remains an open question whether OPCAB provides similar patency to conventional coronary arterybypass graft (CCABG) surgery with cardiopulmonary bypass.OBJECTIVE: To assess the graft patency in patients that had coronary arterial bypass grafting (CABG) performed on-pump andoff-pump.METHODS: A total of 237 patients with CABG performed by a single surgeon were retrospectively studied, in which 100 patientsunderwent CCABG and 137 patients underwent OPCAB; the two groups were well matched according to relative factors and nosignificant differences were found in both groups. Postoperatiuely. Systematic assessment on the graft patency ol all patients wasconducted with 64-shce multidetector spiral computed tomography angiography at 1 month, 1 year. 2 years. 3 years and 4 years,respectively, to provide 641 grafts for analysis.RESULTS AND CONCLUSION: Patency of left internal mammary artery was higher than that of saphenous vein in both groups;no significant difference was observed in left internal mammary artery patency and saphenous vein patency in both groups.Results of 64-slice multidetector spiral computed tomography angiography indicate that OPCAB provides similar patency toCCABG surgery with CPB.关键词
体外循环/非体外循环/冠状动脉旁路移植术/桥血管通畅率/螺旋CT血管造影分类
医药卫生引用本文复制引用
刘志勇,章广玲,邬鹏宇,李占清,杨冬生,蒋守芳,张卫红,霍小菊,高长青..CT血管造影分析体外循环与非体外循环冠状动脉旁路移植后的桥血管通畅率[J].中国组织工程研究与临床康复,2011,15(44):8313-8316,4.基金项目
军队杰出中青年基金资助项目(04J017). （04J017）
