[Comparison of Aortic Valve Replacement Combined with Coronary Artery Bypass Grafting and Transcatheter Aortic Valve Implantation Combined with Off-pump Coronary Artery Bypass Grafting].

Masui. The Japanese journal of anesthesiology Pub Date : 2017-04-01

Ryuichiro Abe, Akira Iura, Takeshi Iritakenishi, Tatsuyuki Imada, Yuji Fujino

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Abstract

Background: The purpose of this study was to compare the perioperative management of aortic valve replacement combined with coronary artery bypass grafting (AVR+CABG) and transcatheter aortic valve implantation combined with off-pump coronary artery bypass grafting (TAVI+OPCAB).

Methods: A retrospective analysis was performed on patients who had undergone either AVR+CABG or TAVI+OPCAB for AS and CAD in Osaka Univer- sity Medical Hospital from January to October, 2014.

Results: AVR+CABG was performed in 11 pa- tients (group A) and TAVI+OPCAB was performed in 4 patients (group T) in this period. The patients in group T was significantly older than the patients in group A. There were no significant differences in other background factors. Procedure time and postoperative mechanical ventilation time were shorter in group T than in group A. Postoperative recovery was signifi- cantly faster in group T than in group A.

Conclusions: TAVI+OPCAB is less invasive than AVR+CABG and an effective treatment for high risk patient with AS and CAD.

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[主动脉瓣置换术联合冠状动脉旁路移植术与经导管主动脉瓣植入术联合非体外循环冠状动脉旁路移植术的比较]。

背景:本研究的目的是比较主动脉瓣置换术联合冠状动脉旁路移植术(AVR+CABG)与经导管主动脉瓣植入术联合非体外循环冠状动脉旁路移植术(TAVI+OPCAB)的围手术期处理。方法:回顾性分析2014年1 - 10月在大阪大学医院行AVR+CABG或TAVI+OPCAB治疗AS和CAD的患者。结果:A组11例行AVR+CABG, T组4例行TAVI+OPCAB。T组患者年龄明显大于a组，其他背景因素差异无统计学意义。T组手术时间和术后机械通气时间均短于a组。T组术后恢复明显快于a组。结论:TAVI+OPCAB比AVR+CABG侵入性小，是治疗AS + CAD高危患者的有效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Masui. The Japanese journal of anesthesiology

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