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右胃发动脉至冠状动脉旁路. 使用的第一个十年

J Pym¹, P Brown, M Pearson

¹Department of Surgery, Queen's University, Ontario, Canada.

|November 1, 1995

概括

右胃脉动脉是冠状动脉旁路移植 (CABG) 的合适选择,为患者提供了改善的治疗结果和完全心肌再血管化的潜力. 这种动脉移植在短期和长期随访中表现出良好的穿透率.

科学领域:

心血管外科心血管外科
进行血管移植.
肌肉心脏复血管化疗法

背景情况:

1984年,右胃脉动脉 (RGEA) 作为冠状动脉旁路移植 (CABG) 进行了引入.
从那时起,它已成为心肌复血管化的被接受的替代导管.

研究的目的:

评估使用RGEA作为CABG的短期,中期和长期结果.
评估RGEA在心肌复血管化中的适用性和有效性.

主要方法:

在接受CABG的126名患者中,RGEA被用作脚或自由移植.
移植被指向各种冠状动脉,包括右主动脉,后下降动脉, circumflex 动脉和左前下降动脉.

主要成果:

这项研究包括126名患者 (111名男性,年龄在32-78岁之间).
医院死亡率为1.6% (2例死亡). 术后平均停留时间为7.5天.
所有幸存者都显示出症状改善 (NYHA 一级或二级).
晚期死亡率为2.4% (3例死亡),平均随访时间为41.4个月.
44名患者的血管图显示了34名 (77%) 的RGEA移植通透性,6名 (14%) 的间接证据.

结论:

RGEA 是一个适合 CABG 的动脉导管.
它的使用,特别是在后壁冠状动脉与内部乳腺动脉相结合时,有助于完全心肌再血管.
该RGEA提供可行的动脉移植与有利的短期和长期通透性.

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