急诊不停跳冠状动脉旁路移植术在冠心病介入失败后的应用  

Application of emergency off-pump coronary artery bypass grafting in unsuccessed percutaneous coronary intervention

作　　者：孙阿雨 赵智伟[1] 葛建军[1] 

机构地区：[1]安徽医科大学第一附属医院心脏外科,合肥230022

出　　处：《安徽医科大学学报》2016年第12期1857-1859,共3页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金(编号:81470530)

摘　　要：回顾性分析12例冠心病支架介入(PCI)失败后行急诊不停跳冠脉搭桥术(OPCABG)患者的临床资料并随访。无院内死亡,术后平均住院(14±5)d。随访(25±9)个月,11例无心绞痛或心肌梗死发作;1例术后16个月心绞痛发作,经药物治疗后缓解。急诊OPCABG是PCI出现并发症时挽救患者生命的有效手段,患者预后良好。The results of 12 patients who underwent emergency off-pump coronary artery bypass grafting（ OPCABG） following unsuccessed percutaneous coronary intervention（ PCI） were retrospectively analyzed. In-hospital mortality was not observed in this group. The mean duration of postoperative stay in the hospiatal was（ 14 ± 5） d and mean duration of follow-up was（ 25 ± 9） months. During follow-up after hospital discharge,11 patients＇ cardiac function was good. l patient occurred angina and recovered after medical treatment. Emergency OPCABG is an effective management for unsuccessed PCI. The long term outcome of patients requiring emergent OPCABG is favorable in this cohort.

关 键 词：冠状动脉介入 急诊手术 冠脉搭桥术 

分 类 号：R654.2[医药卫生—外科学]