当教室における低侵襲血行再建術の経験(Minimally Invasive Treatments,ワークショップ,<特集>東京女子医科大学学会第65回総会)

概要

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From May 1998 through October 1999, we performed 17 minimally invasive direct coronary bypass (MIDCAB) and 10 OFF PUMP CABG, aged from 47 to 82 years (the mean age of 63 years). They had single vessel disease in 13 patients, and multiple vessel disease in 14 patients. Fifteen patients had incompleted PT-CA and 10 patients had risk factors for using cardiopulmonary bypass, such as cerebrovascular disease in 5 patients, carcification of ascending aorta in 3 patients, chronic pulmonary disease in 2 patients, renal insufficiency in 2 patients, cancer in 2 patients, previous bypass surgery in 2 patients, rejection of blood transfusion and old age over 80 years in 1 patient. The mean number of distal anastomosis was 1.2/patient. While 46 lesions could have been considered to be revascularized with conventional CABG, 30 bypasses among them were performed by OFF PUMP CABG. Therefore, the rate of the surgical revascularization was 66.7% (30/46). Post operative angiography demonstrated 100% of patency rate (complete: 90%, incomplete: 10%). It is very useful, especially for high risk patients, to use OFF PUMP CABG. Although the lesions which could be revascularized are limited in the moment. The progress of the surgical technique and equipments will contribute to the development of OFF PUMP CABG.
東京女子医科大学の論文
2000-04-25