Two-staged Hybrid Procedure for Multivessel Coronary Artery Disease_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

陈红卫 , 袁义强 , 潘砚鹏 , 陈文宽 , 詹海波 , 于力 , 王瑞敏 , 陈刚 , 吕涵

郑州市第七人民医院心外科一病区（郑州 450016）;

Corresponding author：

Keywords：

微创; 冠状动脉旁路移植术; 经皮冠状动脉介入治疗; 复合技术

DOI：

10.7507/1007-4848.20150152

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目的总结分析经左胸微创冠状动脉旁路移植术（MIDCAB）与经皮冠状动脉介入治疗（PCI）联合应用治疗冠状动脉多支血管病变的初步临床经验。方法回顾性分析郑州市第七人民医院2013年1月至2014年11月共16例多支冠状动脉病变冠心病患者的临床资料，其中男10例、女6例，年龄46～73（58.4±9.7）岁，采用“分站式”复合技术（Hybrid）进行心肌再血管化。结果 16例患者手术均顺利完成，无围手术期死亡，PCI时行冠状动脉造影提示冠状动脉吻合口通畅，随访3～22（14.0±8.6）个月，临床症状缓解，恢复正常工作及生活。结论 “分站式”复合技术治疗冠状动脉多支血管病变近期效果满意，长期效果有待进一步随访。

Citation： 陈红卫, 袁义强, 潘砚鹏, 陈文宽, 詹海波, 于力, 王瑞敏, 陈刚, 吕涵. Two-staged Hybrid Procedure for Multivessel Coronary Artery Disease. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(6): 607-609. doi: 10.7507/1007-4848.20150152 Copy

1.	Angelini GD, Wilde P, Salemo TA, et al. Integrated left small thoracotomy and angioplasty for multivessel coronary artery revascularization. Lancet, 1996, 347: 757-758.
2.	Zenati M, Cohen HA, Holubkov R, et al. Preoperative risk models for minimally invasive coronary bypass: a preliminary study. J Thorac Cardiovasc Surg, 1998, 116(4): 584-589.
3.	胡盛寿, 高润霖, 郑哲, 等. Hybrid 技术治疗多支病变冠状动脉粥样硬化性心脏病. 中国胸心血管外科临床杂志, 2000, 7(4): 273-274.
4.	赵强, 夏利民, 陈安清, 等. 杂交技术在冠状动脉外科中的应用. 中国微创外科杂志, 2006, 6: 421-423.
5.	凌云鹏, 卢明喻, 鲍黎明, 等. 分站式杂交手术治疗冠状动脉多支血管病变. 中国循环杂志, 2014, 29(2): 90-93.
6.	陈红卫, 潘砚鹏, 陈文宽, 等. 经左胸小切口非停跳冠状动脉搭桥术 10 例. 中国实用医药, 2014, 9(24): 122-123.
7.	Khan MS, Islam MY, Ahmed MU, et al. On pump coronary artery bypass graft surgery versus off pump coronary artery bypass graft surgery: a review. Glob J Health Sci, 2014, 6(3): 186-193.
8.	Tatoulis J, Buxton BF, Fuller JA. Patencies of 2127 arterial to coronary conduits over 15 years. Ann Thorac Surg, 2004, 77(1): 93-101.
9.	Puskas JD, Willimas WH, Mahoney EM, et al. Off-pump vs conventional coronary artery bypass grafting: early and 1-year graft patency, cost and quality-of-lift outcomes: a randomized trial. JAMA, 2004, 291(15): 1839-1841.
10.	Weisz G, Leon MB, Holmes DR Jr, et al. Two-years outcomes after sirolimus-eluting stent implantation: results from the Sirolimus-Eluting Stent in de Novo Native Coronary Lesions(SIRIUS) trial. J Am Coll Cardiol, 2006, 47(7): 1345-1350.
11.	刘晓明, 刘季春, 周学亮, 等. “一站式”复合技术(Hybrid)在冠心病中的应用研究. 山东医药, 2012, 52(33): 41-43.
12.	王浩然, 胡盛寿, 徐波, 等. “一站式”复合技术治疗冠状动脉多支病变患者早中期随访结果. 中国胸心血管外科临床杂志, 2012, 19(3):232-234.
13.	万峰, 陈彧, 王怀军, 等. 四种不同类型的微创小切口冠状动脉搭桥术. 北京医学, 2003, 25(1): 42-44.
14.	王东进, 邵俊, 武忠, 等. 经左胸前外侧小切口冠状动脉旁路移植术. 中华外科杂志, 2009, 47(8): 574-576.
15.	王潇, 陈绪发. 左胸小切口微创冠状动脉旁路移植术五例. 中国心血管外科临床杂志, 2012, 19(4): 422.
16.	Jaffery Z, Kowalski M, Weaver WD, et al. A meta-analysis of randomized control trials comparing minimally invasive direct coronary bypass grafting versus percutaneous coronary intervention for stenosis of the proximal left anterior descending artery. Eur J Cardiothorac Surg, 2007, 3l(4): 691-697.
17.	王振国, 于洪泉, 邓三明, 等. 左胸小切口与胸骨正中切口冠状动脉搭桥术的比较. 医学研究生学报, 2011, 24 (5): 510-512.
18.	吴扬, 高长青, 杨明, 等. 小切口冠状动脉搭桥治疗单支病变的早中期结果. 心血管外科杂志（电子版）, 2012, 1(1): 9-13.

1. Angelini GD, Wilde P, Salemo TA, et al. Integrated left small thoracotomy and angioplasty for multivessel coronary artery revascularization. Lancet, 1996, 347: 757-758.
2. Zenati M, Cohen HA, Holubkov R, et al. Preoperative risk models for minimally invasive coronary bypass: a preliminary study. J Thorac Cardiovasc Surg, 1998, 116(4): 584-589.
3. 胡盛寿, 高润霖, 郑哲, 等. Hybrid 技术治疗多支病变冠状动脉粥样硬化性心脏病. 中国胸心血管外科临床杂志, 2000, 7(4): 273-274.
4. 赵强, 夏利民, 陈安清, 等. 杂交技术在冠状动脉外科中的应用. 中国微创外科杂志, 2006, 6: 421-423.
5. 凌云鹏, 卢明喻, 鲍黎明, 等. 分站式杂交手术治疗冠状动脉多支血管病变. 中国循环杂志, 2014, 29(2): 90-93.
6. 陈红卫, 潘砚鹏, 陈文宽, 等. 经左胸小切口非停跳冠状动脉搭桥术 10 例. 中国实用医药, 2014, 9(24): 122-123.
7. Khan MS, Islam MY, Ahmed MU, et al. On pump coronary artery bypass graft surgery versus off pump coronary artery bypass graft surgery: a review. Glob J Health Sci, 2014, 6(3): 186-193.
8. Tatoulis J, Buxton BF, Fuller JA. Patencies of 2127 arterial to coronary conduits over 15 years. Ann Thorac Surg, 2004, 77(1): 93-101.
9. Puskas JD, Willimas WH, Mahoney EM, et al. Off-pump vs conventional coronary artery bypass grafting: early and 1-year graft patency, cost and quality-of-lift outcomes: a randomized trial. JAMA, 2004, 291(15): 1839-1841.
10. Weisz G, Leon MB, Holmes DR Jr, et al. Two-years outcomes after sirolimus-eluting stent implantation: results from the Sirolimus-Eluting Stent in de Novo Native Coronary Lesions(SIRIUS) trial. J Am Coll Cardiol, 2006, 47(7): 1345-1350.
11. 刘晓明, 刘季春, 周学亮, 等. “一站式”复合技术(Hybrid)在冠心病中的应用研究. 山东医药, 2012, 52(33): 41-43.
12. 王浩然, 胡盛寿, 徐波, 等. “一站式”复合技术治疗冠状动脉多支病变患者早中期随访结果. 中国胸心血管外科临床杂志, 2012, 19(3):232-234.
13. 万峰, 陈彧, 王怀军, 等. 四种不同类型的微创小切口冠状动脉搭桥术. 北京医学, 2003, 25(1): 42-44.
14. 王东进, 邵俊, 武忠, 等. 经左胸前外侧小切口冠状动脉旁路移植术. 中华外科杂志, 2009, 47(8): 574-576.
15. 王潇, 陈绪发. 左胸小切口微创冠状动脉旁路移植术五例. 中国心血管外科临床杂志, 2012, 19(4): 422.
16. Jaffery Z, Kowalski M, Weaver WD, et al. A meta-analysis of randomized control trials comparing minimally invasive direct coronary bypass grafting versus percutaneous coronary intervention for stenosis of the proximal left anterior descending artery. Eur J Cardiothorac Surg, 2007, 3l(4): 691-697.
17. 王振国, 于洪泉, 邓三明, 等. 左胸小切口与胸骨正中切口冠状动脉搭桥术的比较. 医学研究生学报, 2011, 24 (5): 510-512.
18. 吴扬, 高长青, 杨明, 等. 小切口冠状动脉搭桥治疗单支病变的早中期结果. 心血管外科杂志（电子版）, 2012, 1(1): 9-13.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Two-staged Hybrid Procedure for Multivessel Coronary Artery Disease

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