摘要
目的分析使用双侧乳内动脉(BIMA)行冠状动脉旁路移植术(CABG)后的桥血管通畅情况。方法回顾性分析2015年12月~2017年8月于中国医学科学院阜外医院心外科应用BIMA行CABG的182例患者的临床资料,其中男性153例,女性29例,平均年龄(56.2±7.2)岁。分析患者术中即刻桥血管流量、手术效果,并通过出院前及术后3月计算机断层扫描血管造影(CTA)结果评价桥血管通畅情况。结果患者均无围手术期死亡。术后3个月右乳内动脉(RIMA)桥及左乳内动脉(LIMA)桥通畅率为97.8%,静脉桥通畅率为95.4%(P<0.05)。乳内动脉-前降支搭桥总体通畅率为99.5%,其中RIMA-前降支搭桥通畅率为99.4%,LIMA-前降支搭桥通畅率为100%。结论 BIMA行冠状动脉旁路移植术是安全的,早期效果及桥血管通畅率良好。LIMA-前降支及RIMA-前降支搭桥均有较高的近期通畅率。
Objective To evaluate the safety and graft patency of bilateral internal mammary artery(BIMA)in coronary artery bypass graft(CABG)surgery.Methods From Dec.2015 to Aug.2017,182 patients(153 males,29 females,age of 56.2±7.2)underwent CABG using BIMA were enrolled.The operative data and post-operative outcomes were analyzed,and the graft patency was evaluated using coronary computed tomography angiography(CTA).Results There was no peri-operative mortality.As coronary CTA showed,the patency of left internal mammary artery(LIMA)and right internal mammary artery(RIMA)were both 97.8%,while the patency of saphenous vein graft was 95.4%(P<0.05).The patency of internal mammary artery-left anterior descending(LAD)artery graft was 99.5%,with LIMA-LAD patency 100%and RIMA-LAD 99.4%.Conclusion The use of BIMA for CABG is safe.Both LIMA and RIMA grafts have satisfying short-term patency,especially when anastomosed to LAD artery.
作者
仲肇基
郑哲
王小啟
高歌
李林林
樊红光
李浩杰
Zhong Zhaoji;Zheng Zhe;Wang Xiaoqi;Gao Ge;Li Linlin;Fan Hongguang;Li Haojie(Department of Cardiovascular Surgery,Fuwai Hospital,Chinese Academy of Medical Science,Beijing 100037,China)
出处
《中国循证心血管医学杂志》
2018年第7期816-819,共4页
Chinese Journal of Evidence-Based Cardiovascular Medicine
基金
国家重点研发项目(2016YFC1302000)
作者简介
通讯作者:王小啟,E-mail:wxqfwn@163.com。
