双边比单个内部乳腺动脉移植的好处是多重冠状动脉旁路移植
M Endo1, H Nishida, Y Tomizawa
1Departments of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, Japan. ENDO@hij.twmu.ac.jp
Circulation
|October 31, 2001
概括
在冠状动脉旁路移植 (CABG) 中,双边内部乳腺动脉 (BIMA) 移植与单个内部乳腺动脉 (SIMA) 移植相比,显示出优异的长期结果. 在BIMA移植中,重复CABG无病率显著提高.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 血管外科 血管外科
背景情况:
- 冠状动脉旁路移植 (CABG) 是多血管疾病的常见手术程序.
- 内部乳腺动脉经常被用作CABG的移植.
- 双边内部乳腺动脉 (BIMA) 移植与单个内部乳腺动脉 (SIMA) 移植的性能需要评估.
研究的目的:
- 在孤立的CABG程序中,比较BIMA移植与SIMA移植的疗效和安全性.
- 评估长期结果,包括移植通透性和免于重复的CABG.
主要方法:
- 一项对1131名患者的回顾性分析,这些患者接受了针对多血管疾病的选择性初级多重CABG.
- 688名接受SIMA移植的患者和443名接受BIMA移植的患者之间的结局比较.
- 随访时间中位数为6.15年,评估了医院死亡率,移植通透性,没有重复的CABG和心肌梗塞.
主要成果:
- 在SIMA (0.9%) 和BIMA (0.9%) 组之间,医院死亡率没有显著差异.
- 与SIMA (94.3%) 相比,BIMA (97.3%) 的移植通透率显著更高 (P<0.0001).
- 在BIMA组,7年重复的CABG无菌率显著高于BIMA组 (P=0.026).
结论:
- 与SIMA移植相比,BIMA移植显示出明显更高的重复CABG免费率.
- BIMA移植与长期改善的移植通透性有关.
- 这些发现支持在选定患者的CABG中使用BIMA移植.
更多相关视频
13:35Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
05:25Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft
Published on: September 15, 2023
相关概念视频
01:21Coronary Circulation
The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
01:19Anastomoses
In human anatomy, anastomosis refers to a connection or opening between two things, particularly between blood vessels or other tubular structures. The term is derived from the Greek term 'anastomosis,' which means 'outlet' or 'opening.' This natural network of connections plays a critical role in the survival and functionality of the human body.
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They are most common in...
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They are most common in...