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【THORAC. CARDIOVASC. SURG.编译】Heartstring近端血管吻
Initial experience with the heartstring proximal anastomotic
system
Medalion B./Meirson D./Hauptman E. et al. [Dr. B.
Medalion,Department ofCardiothoracic Surgery,The Edith
Wolfson Medical Center, Affil. Sackler Sch. Med., Tel A.,
Holon, Israel] - J. THORAC. CARDIOVASC. SURG. 2004,
128/2 (273-277)
Objective Manipulation of the aorta has been shown to be
associated with postoperative neurologic events after surgical
myocardial revascularization when the aorta is diseased. The
Heartstring proximal anastomotic system (Guidant, Indianapolis,
Ind) is a device designed to assist in the performance
of proximal anastomoses with minimal aortic manipulation.
We describe our initial experience with this product. Methods
Twelve patients with a diseased aorta who underwent off-pump
myocardial revascularization and had their proximal anastomoses
performed with the Heartstring device were studied for
operative and postoperative outcomes and surgical technique.
Results The mean age of the patients was 76 ± 7 years. The
estimated EuroSCORE perioperativemortality was 12%± 8%.
Themedian number of distal anastomoseswas 3. In all patients,
a saphenous vein graft was anastomosed to the aorta using the
Heartstring device. In 5 patients, the radial artery was used as
a conduit and connected proximally to a left internal thoracic
artery as a Y graft, to a saphenous vein graft as a "horseshoe,"
or on the hood of a saphenous vein graft. The operative and
postoperative courses were uneventful. Three seals developed
cracks and were not used. One seal developed an unravel in its
periphery but was used successfully. Conclusions The Heartstring
proximal anastomotic system is a device that allows the
surgeon to perform standard proximal clampless anastomoses.
Elderly patients with a diseased aorta may benefit from this
device.
编译：
Heartstring近端血管吻合系统的最初体验
Medalion,Department ofCardiothoracic Surgery,The Edith Wolfson Medical Center, Affil. Sackler Sch. Med., Tel A., Holon, Israel] - J. THORAC. CARDIOVASC. SURG. 2004, 128/2 (273-277)
目的：动脉疾病时，手术进行心肌血管重建后出现术后神经系统的问题与动脉的操作有关。Heartstring 近端血管吻合系统（Guidant，印第安纳波利斯， ind）是被设计出来帮助近端血管吻合进行最小的动脉操作的设备。我们用这篇文章来描述我们最初的经历。方法：对12名患有动脉疾病的病人做了手术的，术后的结果以及外科技术的研究，这些病人经历了无泵（体外循环）的心肌血管重建和使用Heartstring 设备进行近端血管吻合。结果：这些病人的平均年龄是76±7岁。估计的EuroSCORE围手术期的死亡率为12%±8%。末梢血管吻合的中位数是3，所有病人都使用heartstring设备将大隐静脉与动脉吻合。5个病人身上，放射状血管像管道一样，近端呈Y字型将左胸腔内的胸主动脉与大隐静脉相连接，形状像马蹄铁一样；或者大隐静脉的盲端像的兜帽状被嫁接。手术过程平稳，术后无重大不适。3个封闭器发生了断裂而未被使用。1个封闭器在其外围出现了松动，但仍可成功使用。结论：Heartstring近端血管吻合系统是一个使外科医生完成标准的近端血管吻合的夹闭的设备。年老的有动脉疾病的患者可以从这个设备中获得益处。 [标签:content1][标签:content2]
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作者:admin@医学,生命科学 2011-09-18 17:15
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