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Off-pump coronary artery bypass grafting using a bilateral internal mammary artery Y graft

Journal of Geriatric Cardiology 2012年第3期9卷 247-251页

作者： Cheng-Xiong Gu Jun-Feng Yang Hong-Chao Zhang Hua Wei Ling-Ke Li Department of Cardiac Surgery Capital Medical University Beijing Anzhen Hospital Beijing 100029 China Department of Cardiacvascular Surgery Airfore General Hospital Beijing 100142 China

Objective To evaluate the outcome of off-pump coronary artery bypass grafting （OPCABG） using a bilateral internal mammary artery （BIMA） Y configuration graft to achieve total arterial myocardial revascularization. Methods From October 2002 to December 2008, 208 patients （196 males and 12 females） underwent OPCABG using a BIMA Y configuration graft. The average age of the patients was 56.5 ± 11.3 years, with an age range of 33-78 years. A total of 167 （80.2%） cases had triple-vessel disease. Left main stem disease was found in 33 （15.9%） cases, and double-vessel disease was found in 8 （3.9%） cases. The semi-skeletonization technique was used to harvest the two internal mammary arteries （IMAs）, and then the free right internal mammary artery was connected end-to-side to the left internal mammary artery （LIMA） in situ to complete the Y configuration graft. Off-pump and sequential anastomosis methods were used to perform coronary artery bypass surgery in all patients. Graft patency was assessed intm-operatively with the HT311 transit time flowmeter. Results A total of 728 distal anastomoses were performed in 208 patients, with the average being 3.5± 1.3 per person. No one died or experienced recurrent angina within 30 days after the operation. Conclusions OPCABG using the BIMA Y graft was safe and effective to achieve total arterial revascularization. This method avoids surgical operation on the ascending aorta and other incisions.

关键词： Bilateral internal mammary arteries Coronary artery bypass grafting internal mammary artery Off-pump

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Flexible Subclavian artery Closure for an Inadvertent Injury to the internal mammary artery During internal Jugular Vein Catheterization

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Chinese Medical Journal 2016年第7期129卷 868-870页

作者： Dong-Dong Que Lei Liu Xu-Dong Song Xian-Bao Wang Xiu-Li Zhang Yi-Jun Zhou Li-Yun Feng Wen-Jie Yu Yuan-Qing Li Ping-Zhen Yang Department of Cardiology Zhujiang Hospital Southern Medical University Guangzhou Guangdong 510280 China

Central vein catheter （CVC） placement, which is widely utilized in clinical departments, is also highly important in preoperative preparations for radiofrequency catheter ablation （RFCA）. The internal jugular vein or subclavian vein is the routine target. Arterial injury is not uncommon during the procedure but is potentially devastating in spite of the safety and advantages of the Seldinger technique. Compressing of the airway by a hematoma, as well as hemothorax, pseudoaneurysm, arteriovenous fistula, stroke, and even death, has been well-described.

关键词： internal Jugular Vein Catheterization internal mammary artery Subclavian artery Injury Vascular Closure Device

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Contemporary coronary artery bypass grafting

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Frontiers of Medicine 2014年第4期8卷 395-398页

作者： David P. Taggart Nuffield Department of Surgery University of Oxford John Radcliffe Hospital Oxford OX3 9DU UK

Current evidence clearly demonstrates that coronary artery bypass grafting （CABG） remains the ＂gold standard＂ treatment for most patients with multivessel and left main stem disease. This article summarizes the relevant evidence basis demonstrating that CABG, in comparison to stenting, reduces mortality and subsequent myocardial infarction and the need for repeat revascularization. The article also describes the evidence basis to support the use of more arterial grafts during CABG and the current role of off-pump CABG.

关键词： coronary artery bypass grafting (CABG) coronary artery disease left main arterial grafts internal mammary artery off-pump CABG

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