| Comparison of two aortic proximal anastomotic strategies during off-pump coronary artery bypass grafting |
| Received:July 20, 2021 Revised:September 29, 2021 Click here to download the full text |
| Citation of this paper:CHEN Zhen-hang,SHEN Jin-qiang,JIA Hao,SHAO Meng-ping,JI Qiang,LIU Chen,PAN Sun,LAI Hao,SUN Yong-xin,WEI Lai,DING Wen-jun,WANG Chun-sheng.Comparison of two aortic proximal anastomotic strategies during off-pump coronary artery bypass grafting[J].Chinese Journal of Clinical Medicine,2021,28(5):823-827 |
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| Author Name | Affiliation | E-mail | | CHEN Zhen-hang | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China | | | SHEN Jin-qiang | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China | | | JIA Hao | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China | | | SHAO Meng-ping | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China | | | JI Qiang | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China | | | LIU Chen | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China | | | PAN Sun | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China | | | LAI Hao | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China | | | SUN Yong-xin | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China | | | WEI Lai | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China | | | DING Wen-jun | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China | | | WANG Chun-sheng | Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China | wang.chunsheng@zs-hospital.sh.cn |
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| Abstract:Objective: To explore the clinical efficacy of two different aortic proximal anastomotic strategies:Heartstring device (HS) and partial clamping (PC) during off-pump coronary artery bypass grafting (OPCAB). Methods: Clinical data of 258 patients who underwent OPCAB procedure at the Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University from May 2018 to May 2021 were retrospectively analyzed, including 220 males and 38 females, with a mean age of 68.6±8.2 years. Patients were grouped according to different intraoperative aortic manipulation strategies:Heartstring clampless facilitating device group (HS, n=86) and partial clamp group (PC, n=172). Results: There were two cases of postoperative death (0.78%, one case in each group), and there were 7 cases of postoperative stroke 7 (2.13%; 1 in the HS group and 6 in the PC group, P=0.430). Conclusions: The Heartstring proximal anastomosis device can reduce aortic operation, and good short-term effects can be obtained for high-risk patients. |
| keywords:aortic proximal anastomotic device off-pump coronary artery bypass grafting coronary atherosclerotic cardiopathy |
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