同时应用内乳动脉和桡动脉行冠状动脉搭桥术  

Application of left internal mammary artery and radial artery at same time for coronary artery bypass graft operation

作　　者：赵鲁宁[1] 卞晓明[1] 敖定椿[1] 毕健[1] 骆铁波[1] 

机构地区：[1]大连医科大学第一临床学院心外科,辽宁大连116011

出　　处：《大连医科大学学报》2006年第4期312-314,共3页Journal of Dalian Medical University

摘　　要：[目的]介绍同时应用左内乳动脉和桡动脉移植物行冠状动脉搭桥的早期效果和临床经验。[方法]同时应用左内乳动脉和桡动脉行冠状动脉搭桥手术21例。常规体外循环下搭桥18例,非体外下搭桥3例。平均每例搭桥(4.21±0.98)支,搭动脉桥2.6支。[结果]全组无手术死亡。随诊未发现心绞痛复发,除1例心衰外,无其他心脏事件发生,无心电图缺血表现发生。无前臂缺血、功能障碍等并发症发生。[结论]内乳动脉和桡动脉搭桥的近期效果显著。[ Objective] To introduce the experience and evaluate the early outcome of using the left internal mammary arteary and radial arteary at the same time for coronary artery bypass graft（CABG） operation. [ Methods] Left internal mammary arteries and right radial arteries were used at the same time as the conduits instead of saphenous vein in 21 CABG operations. On - pump CABG 18 cases, off- pump CABG 3 cases. 4.2 distal anastomosis with 2.6 arterial conduits for each case were performed. [Results] There were no perioperative deaths. During follow - up period, there were no angina pectoris and ECG abnormal and other heart affairs except one heart failure two months later after operation. There were no harvest - related complications. [ Conclusion] The left internal mammary arteries and radial arteries as the arterial conduits for CABG have a very good early clinical results. This technique is hopefully a promising technic in coronary surgery.

关 键 词：冠状动脉搭桥 内乳动脉 桡动脉 

分 类 号：R654.2[医药卫生—外科学]