Early Outcomes of Hybrid Coronary and Peripheral Artery Revascularization
- VernacularTitle:冠状动脉旁路移植与外周血管支架置入杂交手术的早期临床结果
- Author:
Dingxu GONG
;
Hansong SUN
- Publication Type:Journal Article
- Keywords:
Hybrid surgery;
Off-pump coronary artery bypass grafting;
Peripheral artery stenting
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and early outcomes of hybrid coronary and peripheral artery revascularization.Methods From January 2008 to July 2008,peripheral artery stenting followed by off-pump coronary artery bypass grafting was performed on five patients under general anesthesia.Results The symptoms caused by the coronary artery disease and peripheral vascular artery disease were cured by the hybrid surgery in all the cases.No early complications occurred.The serum ALT and AST were(38.4?6.9) U/L and(28.0?8.2) U/L respectively after the surgery without significant difference comparing with those determined before the operation [ALT:(36.6?7.5) U/L,t=0.88,P=0.43;AST(26.4?7.2) U/L,t=1.73,P=0.16].Of the 5 patients,3 showed normal renal function before the surgery,and 2 had stenosis of the renal arteries;these two patients showed the postoperative level of BUN 7.3 and 6.8 mmol/L,and Scr value 61 and 82 ?mol/L respectively.In this series,the mean 24-hour chest drainage volume was(842?180) ml,mean ICU stay was(75.4?25.2) h,mean respirator time was(24.2?17.4) h,and mean postoperative hospital stay was(9.8?2.9) days.The patients were followed up for 2 to 9 months,none of them showed complications during the period.Conclusions For patients with both coronary heart disease and peripheral artery disease,hybrid surgery is a minimally invasive,safe,effective,and economic method.The method does not influence the liver and renal functions of the patients.Moreover,no significant difference exists in volume of chest drainage,ICU stay,respirator time,and postoperative stay between standard bypass grafting and this procedure.However,its long-term efficacy should be further investigated.
