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首页> 外文期刊>Journal of cardiac surgery. >'Off-pump' repair of a postangioplasty coronary artery bleed.
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'Off-pump' repair of a postangioplasty coronary artery bleed.

机译：血管成形术后冠状动脉出血的“非体外循环”修复。

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摘要

Following percutaneous multivessel coronary stent implantation with full anticoagulation, a 65-year-old man suffered tamponade and cardiac arrest. After successful resuscitation, he underwent repeat coronary angiography which demonstrated extravasation of contrast from a distal circumflex subbranch. Thereafter, he was transferred to the cardiothoracic surgery unit where the leaking vessel was oversewn using the Medtronic Octopus Retractor for stabilization. This report illustrates the growing wider use of "off-pump" techniques beyond coronary artery bypass grafting. In this case, the patient was exposed to a much shorter procedure with less morbidity than could have been expected had cardiopulmonary bypass been used.
机译：经皮多支冠状动脉支架植入术并进行全面抗凝治疗后，一名65岁的男子出现了填塞和心脏骤停。复苏成功后，他进行了冠状动脉造影检查，显示远端回旋支下的造影剂扩散。此后，他被转移到心胸外科手术室，在那里使用Medtronic章鱼牵开器将渗出的血管覆盖以稳定血管。该报告说明了除冠状动脉旁路移植术外，“非体外循环”技术的使用越来越广泛。在这种情况下，患者接受的手术时间短得多，发病率比使用体外循环手术时所预期的少。

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