主动脉吻合器在冠状动脉搭桥手术中的应用——附32例报告  

Application of aortic connector in coronary artery bypass graft——summury of 32 cases

作　　者：林冬群[1] 林宇[1] 胡佳心[1] 周汉槎[1] 陈晓伟[1] 阮新民[1] 

机构地区：[1]广东省中医院心脏中心,广东广州510105

出　　处：《中国现代医学杂志》2006年第23期3596-3598,共3页China Journal of Modern Medicine

摘　　要：目的通过对32例冠脉搭桥手术中使用主动脉吻合器进行静脉桥近端吻合的总结,探讨主动脉吻合器的应用价值。方法自2003年3月～2005年10月,该中心在32例冠脉搭桥手术中使用主动脉吻合器(包括St.JudeMedicalSymmetryTM主动脉吻合器和MedtronicSpyderTM近端吻合器)进行静脉桥近端吻合,平均年龄(67.9±5.59)岁。这些患者均在术前或术中被确定为存在不同程度的升主动脉钙化或粥样斑块形成,术中不能钳夹升主动脉侧壁。吻合完成后采用血流测定行血管桥流量测定。结果32例患者共使用主动脉吻合器搭桥68根,均操作顺利,无1例发生近端吻合口漏血。测量血管桥平均流量(23.5±13.0)mL/min。术后无1例患者发生精神神经系统并发症,如中风、失语、意识障碍等。结论主动脉吻合器是一种操作简便、快捷、安全可靠的静脉桥近端吻合装置,由于无须钳夹主动脉和特殊的结构设计,大大减少了主动脉壁斑块脱落导致栓塞的危险性,在搭桥手术中有很大的应用价值。[Objective] To evaluate the role of aortic connector by summarizing 32 cases CABG using aortic connector in proximal anastomosis of vein grafts. [Methods] From March 2003 to October 2005, we used bypass system aortic connector in proximal anastomosis of vein grafts in 32 cases CABG, the mean age of the patients is （57.9± 5.59）, they were all found to have calcification or sclerotic plaque on the ascending aorta before or during operation, which forbidden to side-clamp aorta. The flow of the grafts was measured with flowmetery after anastomosis was completed. [Results] 58 grafts were set up by using aorta connector in the 32 cases CABG satisfiedly. No bleeding occurred in the proximal anastomosis. The mean flow of the grafts is （23.5±13.0） mL/min. No phsyeologic or neural complication such as stroke, mental disorder occurred. [Conclusion] Aortic connector is a connective instrument which can be used simply, quickly, safely, and confirmedly. Compared to manual anastomosis, it can reduce significantly embolism caused by lost of plaque on aorta due to its no-clamping on aorta and its special design. We are sure it could play a more important role in off-pump CAGB.

关 键 词：冠状动脉旁路移植术 吻合器 

分 类 号：R654.2[医药卫生—外科学]