间歇，局部闭塞下腔静脉在OPCAB过程中的血流动力学稳定左心室功能障碍。

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-10-01 Epub Date: 2025-07-19 DOI:10.1007/s12055-025-01986-9

Arsiwala Saify, Sangtani Deepak, Mathur Alok

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引用次数: 0

摘要

非体外循环冠状动脉旁路移植术（OPCAB）作为冠状动脉旁路移植术已经得到了广泛的应用。左室（LV）功能障碍患者移植外侧壁血管存在技术挑战。这组患者通常表现为不同程度的二尖瓣反流，并随着心脏移植物构建的定位而恶化。在手术过程中，需要大剂量的肌力药物、液体刺激或主动脉内球囊泵（IABP）来维持血流动力学稳定性。我们提出了一种新的技术，间歇，局部闭塞下腔静脉（IVC），以实现血流动力学稳定在移植物建设期间，不需要高剂量的肌力或IABP。

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Intermittent, partial occlusion of inferior vena cava for hemodynamic stabilization during OPCAB procedures with left ventricular dysfunction.

Off-pump coronary artery bypass (OPCAB) grafting has gained popularity as a technique for coronary bypass. Technical challenges exist for patients with left ventricular (LV) dysfunction while grafting the lateral wall vessels. This group of patients commonly present with varying mitral regurgitation which worsens with positioning of the heart for graft construction. High doses of inotropes, fluid challenges, or intra-aortic balloon pump (IABP) are needed to maintain hemodynamic stability during the procedure. We present a novel technique of intermittent, partial occlusion of inferior vena cava (IVC) to achieve hemodynamic stability during graft construction without high dose of inotropes or IABP.

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来源期刊

Indian Journal of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.20

自引率

14.30%

发文量

141

期刊介绍： The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.