Peri-operative management of off-pump coronary artery bypass grafting

VernacularTitle:不停跳冠状动脉旁路移植术的围术期处理
Author: Sha LIU ; Song XUE ; Genxing XU ; Bo XIE ; Ritai HUANG ; Zhenlei HU ; Feng LIAN ; Qing YE ; Jiahao ZHENG ; Hongsheng ZHU
Publication Type:Journal Article
Keywords: Off-pump coronary artery bypass grafting; :Peri-operative management; Coronary heart disease
From:Clinical Medicine of China 2009;25(3):258-260
CountryChina
Language:Chinese
Abstract: Objective To retrospectively analyse the clinical data of off-pump coronary artery bypass grafting surgery(OPCAB)in our department and summarize the clinical experience of peri-operative management.Methods From January 2007 to May 2008,253 patients underwent OPCAB.Seventy-six cases with left main disease(including 18 cases of single left main lesion and 58 cases of complex lesion);13 cases had single vessel disease;32 cases had double vessels disease and 190 cases had triple vessels disease.Eighteen cases received emergency OPCAB.All vessel anastomosis were performed with coronary artery stablizer and shunt through median sternotomy.Resuits Three cases died after operation(1.2%).Intra-aortic balloon pump was used in 11 cases.Mechanical ventilation time was 3-168 h[(24.1±22.3)h],and ICU stay time was 1-14 day[(2.8±2.0)d].Postoperative hospital stay time was 8-42 days[(15.6±6.3)d].Conclusion OPCAB is reliable for most bypass cases.With appropilate peri-operative management,a satisfied result will be acceptable.