Complexity of coronary artery lesions on the effect of minimally invasive or conventional bypass surgery based on SYNTAX score
10.3760/cma.j.cn112434-20211217-00408
- VernacularTitle:基于SYNTAX积分的冠状动脉病变复杂程度对微创或常规冠状动脉旁路移植手术效果影响的研究
- Author:
Lin LIANG
1
;
Jiaji LIU
;
Liqun CHI
;
Qingyu KONG
;
Bin YOU
;
Wei XIAO
;
Xiaolong MA
Author Information
1. 北京市心肺血管疾病研究所 首都医科大学附属北京安贞医院心脏外科，北京 100029
- Keywords:
Minimal invasive;
SYNTAX score;
Off-pump coronary artery bypass grafting
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2022;38(5):281-286
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the influence of the complexity of coronary artery disease based on SYNTAX score(SS) on the effect of minimally invasive or conventional bypass surgery.Methods:From January 2017 to January 2020, the medical group of the Minimally Invasive Cardiac Surgery Center of Beijing Anzhen Hospital received a total of 760 patients undergoing off-pump coronary artery bypass grafting(OPCABG) surgery, including 596 males and 164 females. 28-85 years old, with an average of(60.88±9.36) years old. 379 cases underwent minimally invasive coronary artery bypass grafting(MICS CABG)(minimally invasive group) and 381 cases underwent median thoracotomy CABG(conventional group). In this study, according to the SS, patients of both groups were divided into 3 levels, and then the perioperative data of the two sets of high, medium, and low score intervals were compared respectively, and a preliminary analysis of the perioperative data for patients in each SS score section was performed.Results:There was no significant difference in the SS value between the minimally invasive group and the conventional group in the three intervals. There was no statistical difference in preoperative data including age, sex ratio, body mass index, hypertension, diabetes, abnormal head CT history, lung disease, history of tobacco and alcohol. The number of minimally invasive bypasses in the three groups was significantly less than that of the conventional group. The duration of minimally invasive surgery in the SS low score group was similar to that of conventional surgery, and the duration of minimally invasive surgery in the SS medium and high score group was longer than that in the conventional group. The hospital stay in the SS low and middle score group was less than that of the conventional group. There was no statistical difference in the proportion of MACCE and auxiliary equipment implantation in the 30-day perioperative period.Conclusion:In the same grade of SS group, there is no significant difference on the perioperative clinical effect between conventional CABG or MICS CABG group. The complexity of coronary artery disease is not the decisive basis for choosing minimally invasive or conventional bypass.
