“一站式”杂交技术在冠状动脉多支血管病变中的临床应用_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 生伟 ¹ , 邢聪慧 ² , 牛兆倬 ¹ , 张文峰 ¹ , 吴建涛 ¹ , 李好友 ¹ , 王天毅 ¹ , 孙俊 ¹

1. ;
2. ;

Corresponding author：

生伟, Email: sw8011@163.com

Keywords：

冠状动脉旁路移植术; 微创; 一站式杂交手术; 经皮冠状动脉介入治疗

DOI：

10.7507/1007-4848.201912036

Video：

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目的探讨“一站式”杂交技术治疗冠状动脉多支血管病变的安全性及治疗效果。方法回顾性分析我院 2018 年 8 月至 2019 年 8 月行“一站式”杂交技术冠状动脉血运重建 22 例冠状动脉多支血管病变患者的临床资料，其中男 16 例、女 6 例，平均年龄 50～81（60.5±8.2）岁。患者在杂交手术室先完成经左胸小切口冠状动脉旁路移植术，之后行冠状动脉介入治疗术。回顾性分析患者围术期资料，并进行随访，采用 SF-36 量表评估患者术后 3 个月生活质量以及观察随访期间主要不良心脑血管事件（MACCE）发生情况。结果该组患者围术期无死亡病例，住院期间无严重并发症发生。随访 3 个月至1 年，随访期间 1 例患者发生脑卒中，无其它 MACCE 发生，生活质量明显改善。结论 “一站式”杂交冠状动脉血运重建治疗冠状动脉多支血管病变安全有效，近期疗效满意。

Citation： 生伟, 邢聪慧, 牛兆倬, 张文峰, 吴建涛, 李好友, 王天毅, 孙俊. “一站式”杂交技术在冠状动脉多支血管病变中的临床应用. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(11): 1367-1370. doi: 10.7507/1007-4848.201912036 Copy

1.	生伟, 池一凡, 孙龙, 等. 杂交手术治疗冠状动脉多支血管病变. 中华胸心血管外科杂志, 2016, 32(4): 247-248.
2.	Kim DW, Her SH, Park HW, et al. Incremental age-related one-year MACCE after acute myocardial infarction in the drug-eluting stent era (from KAMIR-NIH registry). J Geriatr Cardiol, 2018, 15(9): 574-584.
3.	Fanari Z, Weiss SA, Zhang W, et al. Comparison of percutaneous coronary intervention with drug eluting stents versus coronary artery bypass grafting in patients with multivessel coronary artery disease: Meta-analysis of six randomized controlled trials. Cardiovasc Revasc Med, 2015, 16(2): 70-77.
4.	Hannan EL, Zhong Y, Walford G, et al. Coronary artery bypass graft surgery versus drug-eluting stents for patients with isolated proximal left anterior descending disease. J Am Coll Cardiol, 2014, 64(25): 2717-2726.
5.	中国冠状动脉杂交血运重建专家共识(2017 版)编写组. 中国冠状动脉杂交血运重建专家共识(2017 版). 中华胸心血管外科杂志, 2017, 33(8): 449-455.
6.	沈刘忠, 宋之昭, 胡盛寿, 等. 一站式复合技术与非体外循环冠状动脉旁路移植术治疗合并糖尿病的多支冠状动脉病变的病例对照研究. 中国胸心血管外科临床杂志, 2017, 24(12): 916-922.
7.	Kayatta MO, Halkos ME, Puskas JD. Hybrid coronary revascularization for the treatment of multivessel coronary artery disease. Ann Cardiothorac Surg, 2018, 7(4): 500-505.
8.	Sheng W, Yang HQ, Chi YF, et al. Independent risk factors for hypoxemia after surgery for acute aortic dissection. Saudi Med J, 2015, 36(8): 940-946.
9.	沈立, 薛松, 汪永义. 冠状动脉旁路移植术后低氧血症危险因素研究. 中国心血管病研究, 2014, 12(2): 102-106.
10.	Zhu P, Zhou P, Sun Y, et al. Hybrid coronary revascularization versus coronary artery bypass grafting for multivessel coronary artery disease: systematic review and meta-analysis. J Cardiothorac Surg, 2015, 10: 63.
11.	Gierszewska K, Jaworska I, Skrzypek M, et al. Quality of life in patients with coronary artery disease treated with coronary artery bypass grafting and hybrid coronary revascularization. Cardiol J, 2018, 25(5): 621-627.

1. 生伟, 池一凡, 孙龙, 等. 杂交手术治疗冠状动脉多支血管病变. 中华胸心血管外科杂志, 2016, 32(4): 247-248.
2. Kim DW, Her SH, Park HW, et al. Incremental age-related one-year MACCE after acute myocardial infarction in the drug-eluting stent era (from KAMIR-NIH registry). J Geriatr Cardiol, 2018, 15(9): 574-584.
3. Fanari Z, Weiss SA, Zhang W, et al. Comparison of percutaneous coronary intervention with drug eluting stents versus coronary artery bypass grafting in patients with multivessel coronary artery disease: Meta-analysis of six randomized controlled trials. Cardiovasc Revasc Med, 2015, 16(2): 70-77.
4. Hannan EL, Zhong Y, Walford G, et al. Coronary artery bypass graft surgery versus drug-eluting stents for patients with isolated proximal left anterior descending disease. J Am Coll Cardiol, 2014, 64(25): 2717-2726.
5. 中国冠状动脉杂交血运重建专家共识(2017 版)编写组. 中国冠状动脉杂交血运重建专家共识(2017 版). 中华胸心血管外科杂志, 2017, 33(8): 449-455.
6. 沈刘忠, 宋之昭, 胡盛寿, 等. 一站式复合技术与非体外循环冠状动脉旁路移植术治疗合并糖尿病的多支冠状动脉病变的病例对照研究. 中国胸心血管外科临床杂志, 2017, 24(12): 916-922.
7. Kayatta MO, Halkos ME, Puskas JD. Hybrid coronary revascularization for the treatment of multivessel coronary artery disease. Ann Cardiothorac Surg, 2018, 7(4): 500-505.
8. Sheng W, Yang HQ, Chi YF, et al. Independent risk factors for hypoxemia after surgery for acute aortic dissection. Saudi Med J, 2015, 36(8): 940-946.
9. 沈立, 薛松, 汪永义. 冠状动脉旁路移植术后低氧血症危险因素研究. 中国心血管病研究, 2014, 12(2): 102-106.
10. Zhu P, Zhou P, Sun Y, et al. Hybrid coronary revascularization versus coronary artery bypass grafting for multivessel coronary artery disease: systematic review and meta-analysis. J Cardiothorac Surg, 2015, 10: 63.
11. Gierszewska K, Jaworska I, Skrzypek M, et al. Quality of life in patients with coronary artery disease treated with coronary artery bypass grafting and hybrid coronary revascularization. Cardiol J, 2018, 25(5): 621-627.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

“一站式”杂交技术在冠状动脉多支血管病变中的临床应用

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