Douglas M. Overbey MD, MPH , Nicholas D. Andersen MD , Joseph W. Turek MD, PhD, MBA
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引用次数: 0
Abstract
The Norwood procedure can be performed with several variations including a sustained total all-region (STAR) perfusion technique, introduced at our institution 5 years ago and well described in a prior Operative Techniques article. Regardless of technique heterogeneity, national outcomes continue to demonstrate that the Norwood procedure carries one of the highest mortalities of all congenital heart operations. Our technique of STAR perfusion provides total body perfusion during the entire Norwood reconstruction, avoiding coagulopathy associated with significant cooling and ischemic time to end-organs. Over the past few years, we have refined the technique, and describe key variations and modifications in this article.
诺伍德手术可以通过多种方法进行，包括持续全区域（STAR）灌注技术，该技术于 5 年前在我院引入，并在之前的一篇《手术技术》文章中进行了详细描述。无论采用哪种技术，全国性的结果都表明，诺伍德手术是所有先天性心脏病手术中死亡率最高的手术之一。我们的 STAR 灌注技术可在整个诺伍德重建过程中提供全身灌注，避免了因末端器官显著冷却和缺血时间而引起的凝血病变。在过去的几年中，我们对该技术进行了改进，并在本文中介绍了主要的变化和修改。
期刊介绍：
Operative Techniques in Thoracic and Cardiovascular Surgery provides richly illustrated articles on techniques in thoracic and cardiovascular surgery written by renowned surgeons. Each issue presents cardiothoracic topics in adult cardiac, congenital, and general thoracic surgery. Each specialty of interest to the thoracic and cardiovascular surgeon is explored through two different approaches to a specific surgical challenge. Each article is thoroughly illustrated with original line drawings, actual intraoperative photos, and supporting tables and graphs.
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