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State of the Art Surgical Coronary Revascularization最新文献

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Hybrid coronary revascularization 混合型冠状动脉重建术
State of the Art Surgical Coronary Revascularization Pub Date : 2021-01-01 DOI: 10.1016/b978-0-12-820348-4.00021-2
M. Kayatta, H. Liberman, Michael E. Halkos
{"title":"Hybrid coronary revascularization","authors":"M. Kayatta, H. Liberman, Michael E. Halkos","doi":"10.1016/b978-0-12-820348-4.00021-2","DOIUrl":"https://doi.org/10.1016/b978-0-12-820348-4.00021-2","url":null,"abstract":"","PeriodicalId":199690,"journal":{"name":"State of the Art Surgical Coronary Revascularization","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127092392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coronary anomalies 冠状动脉异常
State of the Art Surgical Coronary Revascularization Pub Date : 2021-01-01 DOI: 10.1093/MED/9780198758785.003.0075
Anita Nguyen, R. Reddy, H. Schaff
{"title":"Coronary anomalies","authors":"Anita Nguyen, R. Reddy, H. Schaff","doi":"10.1093/MED/9780198758785.003.0075","DOIUrl":"https://doi.org/10.1093/MED/9780198758785.003.0075","url":null,"abstract":"Anomalous coronary arteries are relatively common, occurring in approximately 1.3% of the general population. Most variants of anomalous coronary arteries do not cause disability and have a benign course. Surgery is warranted to alleviate symptoms. However, some anomalies, such as a left coronary artery arising from the right sinus of Valsalva and passing between the great vessels or anomalous left coronary artery arising from the pulmonary artery, are considered malignant as they have been associated with sudden cardiac death or heart failure, and in these cases, surgery is indicated. Coronary artery fistulas are abnormal communications between a coronary artery and another cardiovascular structure. They are relatively rare, and surgical or transcatheter closure may be necessary in patients with large left-to-right shunts and/or regional myocardial ischaemia.","PeriodicalId":199690,"journal":{"name":"State of the Art Surgical Coronary Revascularization","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133786253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anomalous coronary arteries 冠状动脉异常
State of the Art Surgical Coronary Revascularization Pub Date : 2021-01-01 DOI: 10.1093/MED/9780198758785.003.0009
C. Ong, R. Binder, Marshall L. Jacobs, D. Cameron
{"title":"Anomalous coronary arteries","authors":"C. Ong, R. Binder, Marshall L. Jacobs, D. Cameron","doi":"10.1093/MED/9780198758785.003.0009","DOIUrl":"https://doi.org/10.1093/MED/9780198758785.003.0009","url":null,"abstract":"Coronary artery anomalies have been recognized since antiquity and were described in various anatomical treatises by Renaissance scholars. In the mid-1970s, the clinical significance of anomalies of coronary artery origin and course with respect to sudden death was appreciated, and the first successful surgical unroofing procedure was performed. This chapter describes the embryology and normal anatomy of the coronary arteries and types of coronary artery anomalies and their classification. In particular, it discusses the anomalous aortic origin of a coronary artery (AAOCA), diagnosis of AAOCA, and indications for, types, and outcomes of surgical repair for AAOCA.","PeriodicalId":199690,"journal":{"name":"State of the Art Surgical Coronary Revascularization","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124788173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coronary artery bypass grafting in octogenarians 八旬老人冠状动脉旁路移植术
State of the Art Surgical Coronary Revascularization Pub Date : 2021-01-01 DOI: 10.1093/MED/9780198758785.003.0070
D. Tam, R. Karkhanis, S. Fremes
{"title":"Coronary artery bypass grafting in octogenarians","authors":"D. Tam, R. Karkhanis, S. Fremes","doi":"10.1093/MED/9780198758785.003.0070","DOIUrl":"https://doi.org/10.1093/MED/9780198758785.003.0070","url":null,"abstract":"The prevalence of coronary artery disease in the elderly is high and has been shown to be greater than 80% in patients over the age of 80 years. Coronary artery bypass grafting remains the treatment of choice in selected patients with advanced coronary disease in the absence of surgical contraindications. While much of the data presented in this chapter is not from the current decade, there are some recent studies that have examined trends and outcomes in the contemporary era.","PeriodicalId":199690,"journal":{"name":"State of the Art Surgical Coronary Revascularization","volume":"265 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134162517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coronary artery spasm 冠状动脉痉挛
State of the Art Surgical Coronary Revascularization Pub Date : 2021-01-01 DOI: 10.1093/MED/9780198758785.003.0005
H. Shimokawa, J. Takahashi
{"title":"Coronary artery spasm","authors":"H. Shimokawa, J. Takahashi","doi":"10.1093/MED/9780198758785.003.0005","DOIUrl":"https://doi.org/10.1093/MED/9780198758785.003.0005","url":null,"abstract":"Coronary artery spasm is a condition in which an epicardial coronary artery or coronary bypass graft exhibits abnormal transient constriction with the possible or subsequent development of myocardial ischaemia. Porcine models have demonstrated the important role of atherosclerotic/inflammatory changes of the coronary artery and established that hypercontraction of vascular smooth muscle cells plays a central role in the genesis of spasm and is, in part, dependent on activation of Rho-kinase, a molecular switch for vascular smooth muscle cell contraction. Fasudil, which is used for the treatment of cerebral vasospasm in Japan, is metabolized to hydroxyfasudil and functions as a selective Rho-kinase inhibitor. Recent studies demonstrated that inflammatory changes in the adventitia of the coronary artery play an important role for Rho-kinase activation of vascular smooth muscle cells. Prevention and treatment of coronary spasm is important in preventing acute coronary syndromes and sudden cardiac death.","PeriodicalId":199690,"journal":{"name":"State of the Art Surgical Coronary Revascularization","volume":"649 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115831675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality metrics in coronary artery bypass grafting 冠状动脉旁路移植术的质量指标
State of the Art Surgical Coronary Revascularization Pub Date : 2021-01-01 DOI: 10.1093/med/9780198758785.003.0026
M. Gaudino, V. Zamvar, R. Prager
{"title":"Quality metrics in coronary artery bypass grafting","authors":"M. Gaudino, V. Zamvar, R. Prager","doi":"10.1093/med/9780198758785.003.0026","DOIUrl":"https://doi.org/10.1093/med/9780198758785.003.0026","url":null,"abstract":"Quality may be defined differently by different individuals and the objective measurement of quality is often challenging. In the United States Institute of Medicine’s 1990 report, Medicare: A Strategy for Quality Assurance, the definition of quality included ‘the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge’. The foundational definition of quality in medicine, and certainly in surgery, comes from Avedis Donabedian’s 1966 article utilizing the triad of structure, process, and outcome. Structure refers to the inherent characteristics of the setting where care is provided, process to the particulars and procedural details of the care, and outcome to the end results of the care.","PeriodicalId":199690,"journal":{"name":"State of the Art Surgical Coronary Revascularization","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121894891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Minimally invasive direct coronary artery bypass 微创直接冠状动脉搭桥术
State of the Art Surgical Coronary Revascularization Pub Date : 2021-01-01 DOI: 10.1093/med/9780198758785.003.0060
V. Falk, S. Holinski
{"title":"Minimally invasive direct coronary artery bypass","authors":"V. Falk, S. Holinski","doi":"10.1093/med/9780198758785.003.0060","DOIUrl":"https://doi.org/10.1093/med/9780198758785.003.0060","url":null,"abstract":"There are different minimal invasive approaches of coronary bypass surgery. Avoiding sternotomy and gaining access to the heart via an alternative route is one strategy. Another is to avoid cardiopulmonary bypass. Combining these two measures defines the classical minimally invasive direct coronary artery bypass (MIDCAB) procedure. While multiple grafts can be placed through a limited mini-thoracotomy on the beating heart, the classic MIDCAB procedure is usually limited to grafting of the left internal thoracic artery to the left anterior descending artery.","PeriodicalId":199690,"journal":{"name":"State of the Art Surgical Coronary Revascularization","volume":"226 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131829509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optical coherence tomography 光学相干层析成像
State of the Art Surgical Coronary Revascularization Pub Date : 2021-01-01 DOI: 10.1093/MED/9780198758785.003.0018
K. Galougahi, T. Roleder, A. Maehara, Z. Ali
{"title":"Optical coherence tomography","authors":"K. Galougahi, T. Roleder, A. Maehara, Z. Ali","doi":"10.1093/MED/9780198758785.003.0018","DOIUrl":"https://doi.org/10.1093/MED/9780198758785.003.0018","url":null,"abstract":"Optical coherence tomography enables fast, high-resolution visualization of vascular tissue that is often not feasible by other imaging modalities. This chapter provides an overview of diagnostic applications of optical coherence tomography in coronary pathologies and the unique insights that optical coherence tomography can provide in percutaneous and surgical cardiovascular procedures.","PeriodicalId":199690,"journal":{"name":"State of the Art Surgical Coronary Revascularization","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133999498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of coagulopathy 凝血功能障碍的管理
State of the Art Surgical Coronary Revascularization Pub Date : 2021-01-01 DOI: 10.1093/MED/9780198758785.003.0033
Z. N. Kornfield, George D. Despotis
{"title":"Management of coagulopathy","authors":"Z. N. Kornfield, George D. Despotis","doi":"10.1093/MED/9780198758785.003.0033","DOIUrl":"https://doi.org/10.1093/MED/9780198758785.003.0033","url":null,"abstract":"Patients undergoing cardiac surgery with cardiopulmonary bypass are at increased risk for excessive perioperative blood loss and coagulopathy requiring transfusion. In a recent review of transfusion practices in cardiac surgical patients. it was noted that cardiac surgery patients utilize as much as 10–15% of the almost 15 million units of red blood cells transfused in surgical patients in the United States annually and more than half of cardiac surgical patients receive blood products during their hospitalization. Despite publication of blood conservation guidelines, blood product utilization continues to increase for all cardiac operations.","PeriodicalId":199690,"journal":{"name":"State of the Art Surgical Coronary Revascularization","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126440107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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