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预测转换的决定因素离冠状动脉再血管化到内手术:一个回顾性分析

Chandranshu Kumar¹, Sridartha K¹, Rahul Bhushan¹

¹Cardiothoracic Surgery, Dr. Ram Manohar Lohia Hospital, New Delhi, IND.

|August 22, 2023

概括

脱冠状动脉绕道移植 (CABG) 为印度人口提供了优势,由于并发症较少,尽管在 CABG 显示出更好的二次结果. 从非手术转换为手术的预测因素包括糖尿病和功能障碍.

科学领域:

心血管外科心血管外科
心脏外科手术的结果
最少侵入性心脏外科手术

背景情况:

全球关于非抽血与抽血冠状动脉再血管化的共识仍然难以达成.
虽然冠状动脉试验对二次终点的内手术有利,但外手术具有成本效益和较低的并发症益处,特别是在印度人口中.

研究的目的:

分析转换的预测因子,从非动脉冠状动脉旁路移植 (OPCABG) 到动脉冠状动脉旁路移植 (ONCABG).
评估接受CABG的患者的术后结果,比较OPCABG和ONCABG.

主要方法:

在5年内对652名接受CABG的患者进行了回顾性分析.
确定与OPCABG转换为ONCABG相关的患者特征和手术内因素.

主要成果:

糖尿病,高身体表面积 (BSA) 和功能障碍是从OPCABG转换到ONCABG的重要预测因素.
手术前的心电图变化和动脉内气球脉动 (IABP) 的使用与转化率的增加有关.
紧张的左主冠状动脉和骨性冠状动脉疾病需要在OPCABG期间进行转换.
上组经历了更多的和神经功能障碍,归因于诱导的问题.

结论:

由于成本效益和较低的早期并发症,非式CABG对印度人口有利.
外科医生必须为高风险患者从OPCABG转换到ONCABG的有效转换做好准备.
衡量方法对于减轻ONCABG组的相关并发症至关重要,特别是在高风险人群中.

关键词:

成人冠状动脉手术在上和下进行.这是一次Cabg手术.冠状动脉旁路移植 (cabg) 冠状动脉旁路移植 (cabg) 冠状动脉旁路移植无冠状动脉旁路移植 (opcabg) 的方法离转换为上转换的情况.

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