静脉形态在内镜静脉采集:15年的结果
John Y Lee1, Kathryn L Pedula2, Timothy O Berkley3
1Department of Cardiothoracic Surgery, Kaiser Permanente Moanalua Medical Center, Honolulu, HI, USA.
Innovations (Philadelphia, Pa.)
|October 13, 2023
概括
内镜静脉采集显示,与开放式采集相似的长期心脏事件发生率. 然而,特定的静脉特征,如双面静脉或静脉,与冠状动脉旁路移植的较差结果有关.
科学领域:
- 心血管外科心血管外科
- 血管生物学 血管生物学
- 手术结果研究研究.
背景情况:
- 在内镜静脉采集 (EVH) 中对静脉形态的长期数据有限.
- 了解静脉特征对于优化冠状动脉旁路移植 (CABG) 结果至关重要.
研究的目的:
- 为了比较EVH与开放静脉采集 (OVH) 的15年结果.
- 在CABG后调查静脉形态与主要心血管不良事件 (MACE) 之间的关联.
主要方法:
- 一个单一的中心,前性,回顾性,观察性研究.
- 对接受CABG的729名患者的15年随访数据的分析.
- 评估MACE和静脉形态 (例如,双,静脉,薄壁,厚壁静脉,血管分支,粘附).
主要成果:
- 在EVH和OVH之间15年MACE没有显著差异.
- 在夏威夷原住民,太平洋岛民和菲律宾患者中观察到MACE风险增加.
- 双管静脉与心脏导管风险增加相关.
- 变形静脉与心肌梗塞,心力衰竭和死亡有关.
- 厚壁静脉与再血管化有关;密集的粘附与心脏导管和再血管化.
结论:
- 调整后的15年MACE率在EVH和OVH之间对于小冠状动脉点是可比的.
- 特定的静脉形态 (双,静脉,厚壁) 和密集的粘附与较差的MACE有关.
- 患者的种族影响CABG中的MACE风险.
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