非体外循环冠状动脉旁路移植术

目的 总结非体外循环冠状动脉旁路移植术的临床经验。方法 自2001年12月-2002年11月共完成非体外循环冠状动脉移植术83例。在行远端吻合时,采用冠状动脉固定器(Octopus),冠状动脉腔内分流塞(shunt)显露和固定靶血管,辅以喷射CO_2和冲水,保持术野安静和清晰,并用瞬时流量测定仪检测血管桥的通畅度。结果 围术期的死亡率是1.2％(术后1例死于心肌梗死),术后近期疗效令人满意。结论 非体外循环冠状动脉旁路移植术是冠脉微创术式之一,它安全、有效,值得推广,但远期效果有待于进一步观察。

Coronary Artery Bypass Grafting

Objectives to review the experience of off-pump coronary artery bypass grafting (OPCAB). Method 83 cases of OPCAB were per- formed from November 2001 December 2002. The exposure and fixation of target vessel during distal anastomosis were obtained with coronary artery stabilizer(Octopus) ,intraluminal shunt devices in the coronary artery, spraging CO2 and washing the water, to kept the operation visual fieldto be quiet and clear. And the patency of the vessel bridge was examined with the transit time flow measurement (TTFM). Results the pe-rioperative mortality was 1.2% (1 case died from myocardial infarct during postoperation). Conclusion the short-term effect was satisfactory. Conclusion OPCAB may be one of the minimally invasive procedure for coronary artery bypass grafting, it' s safety, effective, and deserved to be popularized. However, its long - term effect should be followed up further.