Feasibility and Safety of 2-staged Hybrid Technique for Treating Coronary Artery Disease Patients With Multi-vessel Lesions
10.3969/j.issn.1000-3614.2016.02.003
- VernacularTitle:分站式杂交手术治疗冠心病多支病变的可行性及安全性分析
- Author:
Hang YANG
;
Yunpeng LING
;
Lufeng ZHANG
;
Zhe ZHANG
;
Zhongqi CUI
;
Hong ZHAO
;
Song WU
;
Zhiming SONG
;
Yichen GONG
;
Yuanhao FU
- Publication Type:Journal Article
- Keywords:
Coronary artery disease;
Coronary artery bypass;
2-staged hybrid
- From:
Chinese Circulation Journal
2016;31(2):113-115
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the feasibility and safety of 2-staged hybrid technique for treating coronary artery disease (CAD) patients with multi-vessel lesions.
Methods: Our research included 2 groups:Hybrid group, CAD patients with left anterior descending artery (LAD) lesion or with other major epicardial vessel stenosis>70%who received 2-staged hybrid treatment in our hospital from 2012-03 to 2015-03 and Control group, CAD patients received elective conventional off-pump coronary artery bypass (OPCAB) by the same surgeon at meanwhile. n=91 in each group. The peri-operative conditions and complications were compared between two groups.
Results: Compared with Control group, Hybrid group had the shorter post-operative mechanical ventilation time (7.9 ± 4.8) h vs (21.6 ± 35.9) h, shorter ICU-stay time (29.6 ± 20.8) h vs (47.5 ± 38.3) h, all P<0.01 and less peri-operative blood transfusion (0.59 ± 1.48) U vs (2.82 ± 3.81) U, P<0.01. The post-operative complications of mortality, MI occurrence and delayed wound healing were similar between 2 groups, P>0.05.
Conclusion:2-staged hybrid technique is a safe, feasible and minimally invasive technique for treating CAD patients with LAD and multi-vessel lesions.
