抽出与抽出冠状动脉旁路移植手术:短期结果和长期死亡率的差异以及随后的再血管化的需要
Edward L Hannan1, Chuntao Wu, Craig R Smith
1State University of New York at Albany, Department of Health Policy, Management, and Behavior, One University Place, Rensselaer, NY 12144, USA. elh03@health.state.ny.us.
Circulation
|August 22, 2007
概括
无冠状动脉旁路移植手术 (OPCAB) 显示出较低的住院死亡率和较少的并发症,而不是 CABG. 然而,长期的结果是相似的,在 CABG 提供更好的自由从重血管.
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
- 心脏外科手术的结果
背景情况:
- 越来越多地使用的是非动脉冠状动脉旁路移植 (OPCAB) 手术.
- 在OPCAB和冠状动脉旁路移植 (CABG) 结果之间的比较仍在争论中.
研究的目的:
- 为了比较OPCAB与式CABG手术的短期和长期结果.
- 评估两种手术方法之间的患者死亡率和并发症率.
主要方法:
- 对2001-2004年纽约州患者数据的回顾性分析.
- 13,889名OPCAB患者与35,941名内CABG患者的比较.
- 风险因素调整和匹配对分析用于结果比较.
主要成果:
- OPCAB与显著较低的住院患者/30天死亡率和术后中风/呼吸衰竭率有关.
- 在OPCAB和 CABG之间没有观察到三年死亡率的显著差异.
- 与 CABG 患者相比,OPCAB 患者的随后重血管化率较高.
结论:
- 与式CABG相比,OPCAB手术显示了医院内死亡率和并发症率的降低.
- 长期存活率在OPCAB和 CABG之间是可比的.
- 在上CABG在长期内提供了对重血管化的卓越自由.
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