| 冠状动脉旁路移植术中骨骼肌化胸廓内动脉的应用 |
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| 引用本文： | 魏翔,潘铁成,胡敏,李军,陈涛,刘立刚,郑智. 冠状动脉旁路移植术中骨骼肌化胸廓内动脉的应用[J]. 山东医药, 2006, 46(6): 1-2 |
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| 作者姓名： | 魏翔 潘铁成 胡敏 李军 陈涛 刘立刚 郑智 |
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| 作者单位： | 华中科技大学同济医学院附属同济医院,湖北,武汉,430030;华中科技大学同济医学院附属同济医院,湖北,武汉,430030;华中科技大学同济医学院附属同济医院,湖北,武汉,430030;华中科技大学同济医学院附属同济医院,湖北,武汉,430030;华中科技大学同济医学院附属同济医院,湖北,武汉,430030;华中科技大学同济医学院附属同济医院,湖北,武汉,430030;华中科技大学同济医学院附属同济医院,湖北,武汉,430030 |
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| 摘 要： | 目的 探讨骨骼肌化胸廓内动脉（ITA）用于冠状动脉旁路移植术的优越性。方法采用剪刀和钛夹将骨骼肌化的ITA游离，并将其用于冠状动脉旁路移植术。结果共游离ITA 61根，并顺利用于60例冠状动脉旁路移植术患者，平均获取时间为26．8min。骨骼肌化ITA平均血流量吻合前为86．5ml／min，吻合后为26.4ml／min。随访1～31个月，无心脏相关性死亡和事件发生。结论在冠状动脉旁路移植术中应用骨骼肌化的ITA和带蒂ITA一样安全、有效。
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| 关 键 词： | 胸廓内动脉 冠状动脉旁路移植术 冠状动脉疾病 |
| 文章编号： | 1002-266X（2006）06-0001-02 |
| 收稿时间： | 2005-12-28 |
| 修稿时间： | 2005-12-28 |
Skeletonized internal thoracic artery harvesting in coronary artery bypass grafting |
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| WEI Xiang,PAN Tie-cheng,HU Min,et al. Skeletonized internal thoracic artery harvesting in coronary artery bypass grafting[J]. Shandong Medical Journal, 2006, 46(6): 1-2 |
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| Authors: | WEI Xiang PAN Tie-cheng HU Min et al |
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| Abstract: | Objective:To evaluate the advantages of harvesting skeletonized internal thoracic artery(ITA) in coronary artery bypass grafting.Methods:The internal thoracic artery was mobilized from the satellite veins and surrounding tissue mainly using scissors and clips in 60 patients underwent coronary artery bypass grafting.Results:61 skeletonized ITAs were mobilized,the mean time of harvesting was 26.8 min.The mean blood flow of skeletonized ITA before anastomosis was 86.5ml/min,after anastomosis was 26.4ml/min.Follow-up data showed there were no cardiac deaths or cardiac events.Conclusion:Skeletonized ITA is as safe and effective as ITA with pedicel in coronary artery bypass grafting. |
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| Keywords: | internal thoracic artery coronary artery bypass grafting coronary disease |
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