Circulation:非体外循环下冠状动脉旁路移植术也是安全可靠的!!!

2016-11-01 xing.T MedSci原创

从研究者提供的数据来看,OPCAB与CPB有着类似的长期预后,而且从OPCAB转为CPB的转化率也较低;从培训进行OPCAB的初级医生也表明OPCAB是可教并且安全的。该研究结果表明OPCAB可以取得与CPB类似的益处。

非体外循环下冠状动脉旁路移植术(CABG)的长期治疗预后一直备受争议。最近,心血管领域权威杂志《Circulation》上发表了来自英国利物浦心胸医院胸心外科Bilal H. Kirmani医生及其研究团队的研究文章。研究者所在医疗机构进行非体外循环(OPCAB)体外循环(CPB)冠状动脉搭桥术已有15年的经验,该研究旨在比较两种方法之间的长期死亡率和血管再生情况。

研究者进行了一项回顾性队列研究,将在2001年-2005年期间就诊于利物浦心胸医院胸心外科并进行冠状动脉搭桥术的13226例患者纳入该研究,研究者采用了意向性治疗分析方法,通过调整和匹配的倾向得分来进行风险调整。总体而言,研究对象中5882例进行OPCAB;另外,7344例进行CPB;并且中位随访时间为6.2年。

研究者发现,在5882例进行OPCAB的患者中,只有76例(1.3%)转为CPB。在两组中1年、5年和10年的生存率相似(OPCAB vs. CPB:96.7%、87.9%、72.1% vs. 96.2%、87.4%、72.8%)。而且两组的长期生存率也无统计学差异(调整后的危险比为1.03;95%可信区间为0.94–1.11;P=0.56);同样,两组患者术后的死亡率和再次手术率也无统计学差异(调整后的危险比为0.98;95%可信区间为0.92–1.06;P=0.23)。


接受OPCAB的患者有较高EuroSCOREs评分(中位数[四分位数]:2.81 [1.53–5.57] vs 2.73 [1.51–5.22];P=0.01)。进行OPCAB对手术者也有更多的要求和训练计划(15.3% vs 12.5%,进行OPCAB的患者心肌酶升高程度较小,住院时间较短,并发症(如心肌梗塞)也较少。

从研究者提供的数据来看,OPCAB与CPB有着类似的长期预后,而且从OPCAB转为CPB的转化率也较低;从培训进行OPCAB的初级医生也表明OPCAB是可教并且安全的。该研究结果表明OPCAB可以取得与CPB类似的益处。

原始出处:

Bilal H. Kirmani,et al. Long-Term Survival and Freedom From Reintervention After Off-Pump Coronary Artery Bypass Grafting A Propensity-Matched Study. Circulation. 2016;134:1209- 1220. http://dx.doi.org/10.1161/CIRCULATIONAHA.116.021933

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    2017-10-02 cy0324
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    2016-11-10 1dedfe95m66(暂无匿称)

    咱们胸外科多不容易,搞杂技啊。

    0

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    2016-11-10 1dedfe95m66(暂无匿称)

    有说不停跳手不稳缝不好质量差

    0

  5. 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  6. 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  7. 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    2016-11-01 1771ae4158m

    学习一下,好

    0

  8. 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authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/23/ac01daf0962458a9eb8c0b1e2f6ce5bc.jpg, createdBy=04b81710322, createdName=1771ae4158m, createdTime=Tue Nov 01 22:21:16 CST 2016, time=2016-11-01, status=1, ipAttribution=)]
    2016-11-01 1771ae4158m

    学习一下,不错

    0

  9. 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    2016-11-01 1771ae4158m

    学习一下,好

    0

  10. 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    2016-11-01 1771ae4158m

    学习一下,好

    0

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