{"title":"苏格兰心脏病学会第 30 届年度大会 2021 年 9 月 24 日星期五。","authors":"","doi":"10.1177/00369330211066529","DOIUrl":null,"url":null,"abstract":"","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":"67 1","pages":"75-83"},"PeriodicalIF":1.4000,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Scottish Cardiac Society 30<sup>th</sup> Annual General Meeting Friday 24<sup>th</sup> September 2021.\",\"authors\":\"\",\"doi\":\"10.1177/00369330211066529\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\",\"PeriodicalId\":21683,\"journal\":{\"name\":\"Scottish Medical Journal\",\"volume\":\"67 1\",\"pages\":\"75-83\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2022-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Scottish Medical Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00369330211066529\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Scottish Medical Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00369330211066529","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
摘要
背景:我们介绍了我们在苏格兰一家医院引入最先进的内窥镜血管收获(EVH)的早期经验。冠状动脉旁路移植术(CABG)是最常进行的成人心脏外科手术。在2019 -19大流行之前,苏格兰在2019/20年度进行了1200例手术。虽然胸内动脉(ITA)是首选的导管,但大多数CABG手术需要从一条或两条腿上获取长隐静脉(LSV)。桡动脉(RA)也较少使用。导管目前通过开放技术获取,这是外科手术中最长的切口之一。即使是熟练的手术,这也是发病和延迟出院的主要原因。已知的伤口并发症的危险因素包括年龄bbb75岁,女性,BMI bbb28,吸烟史,糖尿病和周围血管疾病。LSV和RA都可以通过2厘米的切口在内镜下成功切除,术后发病率有望降低。为了减少CABG的侵入性,我们决定开展EVH计划,并在此介绍我们的早期临床经验和未来在苏格兰常规心脏手术中心推广的愿景。方法:在一家机构连续接受孤立选择性冠脉搭桥手术的患者被同意进行内窥镜血管切除(EVH)。我们使用了一种新型的屏幕成像(CoreVista, CardioPrecision),以及最新的EVH采集工具(HemoPro 2, Getinge)和标准成像/CO2注入(Stryker)。收集危险因素、伤口并发症、患者满意度和住院时间的数据。结果:一个简短的视频将用于演示程序的关键步骤。研究招募了9名患者。平均年龄61岁[95% CI 53-69年]。9例患者中有6例(66%)存在一种或多种术后伤口并发症的危险因素。6例(66%)患者通过内镜采集LSV, 3例(33%)患者通过RA采集。移植物中位数为3个[范围2-5]。没有直接的伤口并发症。所有患者对手术结果均表示高度满意。术后中位住院时间为5天[范围5-6天]。中位随访2个月,无后期伤口并发症或不良事件报告。结论:EVH成功交付,无并发症,患者满意度高,住院时间短。设备的组合易于使用,并集成到标准的CABG手术室占地面积和程序中。目前正在制定计划,在苏格兰更广泛地实施EVH。
期刊介绍:
A unique international information source for the latest news and issues concerning the Scottish medical community. Contributions are drawn from Scotland and its medical institutions, through an array of international authors. In addition to original papers, Scottish Medical Journal publishes commissioned educational review articles, case reports, historical articles, and sponsoring society abstracts.This journal is a member of the Committee on Publications Ethics (COPE).