在左侧主要冠状动脉疾病中进行非式CABG手术:一个单中心的潜在注册表
Ajeet Bana1, Anuj Sangal2,3, Navneet Mehta4
1Eternal Heart Care Centre & Research Institute, Jawahar Nagar, Jaipur, 302017 India.
Indian journal of thoracic and cardiovascular surgery
|August 23, 2023
概括
无冠状动脉旁路移植 (CABG) 是对左主 (LM) 冠状动脉疾病 (CAD) 的安全有效的治疗方法. 这项研究发现,医院住院死亡率低,主要不良心血管事件 (MACE) 具有有利的3年结果.
科学领域:
- 心血管外科心血管外科
- 干预心脏病学 干预心脏病学
- 心脏外科手术的结果
背景情况:
- 左主 (LM) 冠状动脉疾病 (CAD) 治疗涉及复杂的决策,担心不完整的再血管化和在离 (OPCAB) 与在 (ONCAB) 手术中的存活率.
- 在接受OPCAB的高风险LM CAD患者中评估结果至关重要.
研究的目的:
- 评估在患有显著左主 (LM) 冠状动脉疾病 (CAD) 的患者中非抽动冠状动脉旁路移植 (OPCAB) 的安全性和有效性.
主要方法:
- 一项基于注册表的前性研究,涉及1323名高风险的LM三血管CAD患者,他们在2013年1月至2019年6月期间接受OPCAB手术.
- 收集的数据包括临床特征,CAD的程度,手术细节,住院结果和3年的随访.
- 用描述性统计数据来分析数据.
主要成果:
- 研究队列 (n=1323) 的平均年龄为63岁,男性占88.4%. 常见的并发症包括糖尿病 (45.2%) 和以前的心肌梗塞 (35.0%).
- 所有患者都患有LM疾病 (100%),99.4%患有三重血管疾病.
- 住院主要不良心血管事件 (MACE) 低至1.6% (n=21). 在3年的随访期 (n=1041),MACE的发病率为8.1% (n=84),心血管死亡率为2.7% (n=28).
结论:
- 离CABG手术在患有左主冠状动脉疾病的患者中显示出安全性.
- 观察到低的住院死亡率和MACE率.
- 在LM CAD患者中,OPCAB的三年结果与式CABG的公布数据相比较.
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