자가정맥편을 이용한 관상동맥 혈관성혈술

Onlay Patch Coronary Angioplasty with Autologous Saphenous Vein

  • 류경민 (단국대학교 의료원 흉부외과학교실) ;
  • 김삼현 (단국대학교 의료원 흉부외과학교실) ;
  • 박성식 (단국대학교 의료원 흉부외과학교실) ;
  • 류재옥 (제천 서울병원 흉부외과) ;
  • 서필원 (단국대학교 의료원 흉부외과학교실)
  • 발행 : 2000.06.01

초록

Background: Onlay vein patch coronary angioplasty has been known to be an option for coronary artery stenosis in the selective iesions Material and method: During the period between July 1997 and August 1999, coronary angioplasty using autologous saphenous vein was done on 16 sites in 14 cases for the stenotic lesion at the bifurcation area and significantly stenosis distal to anastomosis. Result: Early patency of the angioplasty site was 85.7% at postoperative day 7. There was no statistically difference in graft patency, operative parameters, and complications compared to conventional anatomosis(p>0.05). Conclusion: Despite the small number of cases, the patency rate of the coronary patch angioplasty was comparable to the conventional CABG. Coronary artery only patch angioplasty could be performed in highly selected coronary arteries.

키워드

참고문헌

  1. Arch Surg v.91 Proximal endarterectomy: Arterial reconstruction for coronart occlusion at aortic origin Sabiston DC;Ebeert PA;Friesinger GC;Ross RS;Sinclair SB
  2. Ann Surg v.162 Coronart endarterectomy with patch graft reconstruction: Cluucal experience with 34 cases Effler DB;Sones FM;Favaloro R;Groves LK
  3. J Thorac Cardiovase Surg v.85 Angioplasty of the left main coronart artery for isolated left main coronary artery disease Hitchcock JP;Robles EO;Jambroes G
  4. Am J Cardiol v.66 Early clinical results of long coronary arteriotomy endarterecotmy and reconstruction combined with multiple bypass grafing for severe coronary artery disease Sommerhaug RG;Wolfe SF;Reid DA(et al.)
  5. Circulation v.68 randomized trial of coronary artery btpass surgery-Quality of life in patients randomly assigned to treatment groups Coronary Artery Surgery Study(CASS)
  6. J Thorac Cardiovase Surg v.99 Surgical angioplasty of the left main coronary artery Dion R;Vergelst R;Matta A;Rousseau M;Goenen M;Chalant C
  7. Principles of human physiology(2nd ed.) Dynamics of the circulation Evans CL;L Starling EH(ed.)
  8. 대흉외지 v.29 좌주고나상동맥협착의 외과적 치료 안병희;장윈채
  9. J Thorac Cardiovase Surg v.44 Surgical patch angioplasty of the left main coronary artery Schmuziger M;Christenson JT
  10. 대흉외지 v.32 좌주관상동맥 협착에 대한 수술적 혈관성형술 정승혁;양지혁;김기봉
  11. J Card Surg v.11 Extensive endarterectomy, onlay patch, and internal mammary bypass of the left anterior descending coronary artery Snakar NM;Satyaprasad V;Rajan S;Bashi VV;Cherian KM
  12. J Am Coll Cardiol v.28 Coronary bypass graft fate and patient outcome: Angiographic follow-up of 5,065 grafts rlated to survival and reoperation in 1,388 patients during 25 years Fitzgibbon GM;Kafka HP;Leach AJ;Kern WJ;Hooper GD;Burton JR
  13. 대흉외지 v.30 관상동맥우회술 후 1년 개존성에 관한 연구 김기봉;김현조;성기익