OPCAB surgery with an alternative retraction method: a single-centre experience.

IF 0.8 2区 历史学 Bulletin of the American Schools of Oriental Research Pub Date : 2020-01-23 Epub Date: 2019-07-15 DOI:10.5830/CVJA-2019-038
Erdem Cetin, Tolga Can, Celal Selcuk Unal, Aydin Keskin, Emre Kubat
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Abstract

Background: The off-pump coronary artery bypass (OPCAB) technique, which is used in order to avoid the side effects of cardiopulmonary bypass, is often questioned in terms of its efficacy and safety. Also, in this technique, surgeon experience plays a very important role. In this study, we share the results of our 606 OPCAB cases with an alternative retraction technique.

Methods: This study was a retrospective analysis of OPCAB operations performed between January 2014 and December 2018. Patients were evaluated and operated on by a surgical team led by an experienced OPCAB surgeon with over 200 prior OPCAB surgeries.

Results: The study included 606 OPCAB cases, and 21.8% (132) were female and 78.2% (474) were male. Our mortality rate was 1.7% (n = 10) and only two patients suffered a cerebrovascular incident. A statistically significant difference was found between pre-operative and six-month postoperative left ventricular ejection fraction values (p < 0.01).

Conclusion: The OPCAB technique can be performed with similar results to on-pump surgery when conducted by an experienced surgeon, as in our study.

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采用另一种牵引方法的 OPCAB 手术:单中心经验。
背景:为避免心肺旁路术的副作用而采用的非体外循环冠状动脉搭桥术(OPCAB)在有效性和安全性方面经常受到质疑。此外,在这项技术中,外科医生的经验也起着非常重要的作用。在本研究中,我们分享了采用另一种牵引技术的 606 例 OPCAB 的结果:本研究对 2014 年 1 月至 2018 年 12 月期间进行的 OPCAB 手术进行了回顾性分析。患者由一名经验丰富的 OPCAB 外科医生领导的手术团队进行评估和手术,该外科医生曾进行过 200 多例 OPCAB 手术:研究包括606例OPCAB病例,其中21.8%(132例)为女性,78.2%(474例)为男性。死亡率为 1.7%(10 人),只有两名患者发生了脑血管意外。术前和术后六个月左心室射血分数值之间的差异具有统计学意义(P < 0.01):结论:在我们的研究中,如果由经验丰富的外科医生实施 OPCAB 技术,其效果与泵上手术相似。
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