右胸内动脉与右胃网膜动脉复合移植在冠状动脉搭桥术中的应用。

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-04-20 DOI:10.5761/atcs.oa.22-00171
Makoto Shirakawa, Masami Ochi, Yosuke Ishii
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引用次数: 1

摘要

目的:在冠状动脉旁路移植术(CABG)中,将右胃网膜动脉(GEA)加入胸腔内动脉(ITA)作为原位移植物或i -复合右ITA-右GEA移植物。我们的目的是验证它的潜力。方法:我们评估了104例首次行分离性冠状动脉搭桥术的患者。评估远端吻合口数量、术中移植物流量(GF)和脉搏指数(PI),以及早期i -复合移植物的通畅性。结果:总远端吻合次数为4.17±0.81次,动脉移植远端吻合次数为3.63±0.81次。该i型复合移植物远端吻合率为2.38±0.69。GF有随远端吻合器个数增加而增加的趋势(p = 0.241), PI与远端吻合器个数无关(p = 0.834)。移植通畅率为95.5%;此外,远端吻合口的数量与这种i -复合移植物不影响早期移植物通畅。结论:除了原位移植物外,该i -复合移植物扩大了右GEA效用。这种i型复合移植物具有足够的血流能力,可用于非左前降支病变的冠状动脉血运重建。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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I-Composite Graft with Right Internal Thoracic Artery and Right Gastroepiploic Artery in Coronary Artery Bypass Grafting.

Purpose: When added to the internal thoracic artery (ITA), the right gastroepiploic artery (GEA) has been used as an in-situ graft or an I-composite right ITA-right GEA graft in coronary artery bypass grafting (CABG). We aimed to verify its potential.

Methods: We evaluated 104 patients who underwent first isolated CABG with this I-composite graft. The number of distal anastomoses, graft flow (GF) and pulsatility index (PI) during surgery, and graft patency in the early term regarding this I-composite graft were evaluated.

Results: The number of total distal anastomoses and distal anastomoses with arterial grafts were 4.17 ± 0.81 and 3.63 ± 0.81, respectively. This I-composite graft achieved 2.38 ± 0.69 distal anastomoses. GF tended to increase according to the increased number of distal anastomoses (p = 0.241), and the PI maintained a low score regardless of the number of distal anastomoses (p = 0.834). Graft patency was 95.5%; moreover, the number of distal anastomoses with this I-composite graft did not affect early-term graft patency.

Conclusion: Right GEA utility was expanded as this I-composite graft in addition to in-situ graft. This I-composite graft has an adequate flow capacity for revascularization in non-left anterior descending coronary artery lesions.

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来源期刊
Annals of Thoracic and Cardiovascular Surgery
Annals of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-SURGERY
CiteScore
2.80
自引率
0.00%
发文量
56
审稿时长
4-8 weeks
期刊介绍: Information not localized
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