在停止抽冠状动脉旁路手术后的早期和中期结果
Kirun Gopal1, Prashanth Vytla2, Neethu Krishna1
1Department of Cardiovascular & Thoracic Surgery, Amrita Institute of Medical Sciences and Research Center, Amrita Vishwa Vidyapeetham (Amrita University), Ponnekara PO, Kochi, Kerala PIN 682041 India.
Indian journal of thoracic and cardiovascular surgery
|June 22, 2023
概括
无冠状动脉旁路手术 (OPCAB) 在印度患者中显示出安全和令人满意的短期和中期结果. 建议进行进一步的多中心研究,以确认其适用性.
科学领域:
- 心血管外科心血管外科
- 心脏外科手术的结果
背景情况:
- 关于非动脉冠状动脉绕道手术 (OPCAB) 与传统的动脉手术结果的可比性存在争议.
- 在西方国家,OPCAB的采用率很低,但在印度,它是标准的.
- 关于OPCAB在印度人口中的中期结果的数据有限.
研究的目的:
- 评估印度患者与OPCAB相关的短期和中期死亡率.
- 为了确定影响OPCAB患者死亡率的因素.
主要方法:
- 2014年10月至2019年12月,连续接受隔离OPCAB的患者进行单中心研究.
- 通过医院记录,电子医疗记录和电话采访收集数据.
- 分析死亡率和与生存相关的因素.
主要成果:
- 术后死亡率为2.3%,中期死亡率为5.5%.
- 与手术死亡率相关的因素包括术前功能障碍,术后功能衰竭,动脉内气球 (IABP) 的使用,重新探索出血,中风,长时间通风和心房动.
- 中期死亡率与年龄>62岁,术后功能衰竭,IABP使用,长时间通风和心房动有关.
- 平均存活时间为2343.55天,六年存活率为88.7%.
结论:
- 可以安全地进行OPCAB,并获得可接受的短期和中期结果.
- 需要进一步的多中心研究来验证OPCAB在印度患者中的适用性.
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