冠心病“搭橋”的外科技術(shù)

SurgicalTechniquesforCABG基本外科技術(shù)

BasicSurgicalTechniques布單與取血管基本外科技術(shù)

BasicSurgicalTechniques布單與取血管基本外科技術(shù)

BasicSurgicalTechniques正中開(kāi)胸基本外科技術(shù)

BasicSurgicalTechniques正中開(kāi)胸基本外科技術(shù)

BasicSurgicalTechniques插管基本外科技術(shù)

BasicSurgicalTechniques插管基本外科技術(shù)

BasicSurgicalTechniques插管基本外科技術(shù)

BasicSurgicalTechniques插管基本外科技術(shù)

BasicSurgicalTechniques心肌保護(hù)（正灌、逆灌）基本外科技術(shù)

BasicSurgicalTechniques冠狀動(dòng)脈顯露

冠狀動(dòng)脈的位置

CAorCV？基本外科技術(shù)

BasicSurgicalTechniques冠狀動(dòng)脈顯露無(wú)血視野a基本外科技術(shù)

BasicSurgicalTechniques冠狀動(dòng)脈顯露

無(wú)血視野b基本外科技術(shù)

BasicSurgicalTechniques冠狀動(dòng)脈顯露

無(wú)血視野c基本外科技術(shù)

BasicSurgicalTechniques關(guān)胸標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques1冠狀動(dòng)脈旁路的目標(biāo)(GoalsofCoronaryArteryBypass)狹窄>50%靶血管>1.0mm癥狀緩解低手術(shù)死亡率和并發(fā)癥延長(zhǎng)生命及遠(yuǎn)期并發(fā)癥少標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques2搭橋方法的選擇(GRAFTSTRATEGY)單側(cè)乳內(nèi)動(dòng)脈(IMA)

＋大隱靜脈雙側(cè)乳內(nèi)動(dòng)脈全動(dòng)脈化標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques3手術(shù)順序

(OperativeSequence)冠狀動(dòng)脈切口及移植橋切口標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques3手術(shù)順序(OperativeSequence)遠(yuǎn)端吻合標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques3手術(shù)順序(OperativeSequence)遠(yuǎn)端吻合標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques3手術(shù)順序(OperativeSequence)近端吻合標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques3手術(shù)順序(OperativeSequence)近端吻合標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques3手術(shù)順序(OperativeSequence)近端吻合標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques4注意點(diǎn)(PITFALLS)冠狀動(dòng)脈切口(切偏、夾層、透壁)標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques4注意點(diǎn)(PITFALLS)冠狀動(dòng)脈切口(切偏、夾層、透壁)標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques4注意點(diǎn)(PITFALLS)冠狀動(dòng)脈切口(切偏、夾層、透壁)標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques4注意點(diǎn)(PITFALLS)橋長(zhǎng)度不合適（長(zhǎng)、短、成角）標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques4注意點(diǎn)(PITFALLS)橋長(zhǎng)度不合適（長(zhǎng)、短、成角）標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques4注意點(diǎn)(PITFALLS)橋長(zhǎng)度不合適（長(zhǎng)、短、成角）標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques4注意點(diǎn)(PITFALLS)近端吻合口（切口太大、動(dòng)脈夾層）標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques4注意點(diǎn)(PITFALLS)近端吻合口（切口太大、動(dòng)脈夾層）標(biāo)準(zhǔn)搭橋技術(shù)

StandardGraftingTechniques搭橋技術(shù)的變化復(fù)合冠狀動(dòng)脈血運(yùn)重建

ComplexCoronaryReconstructions

1靜脈序貫(SequentialSaphenousVeinGrafts)

1)指征：a動(dòng)脈不能用

b多支病變c糖尿病復(fù)合冠狀動(dòng)脈血運(yùn)重建

ComplexCoronaryReconstructions

2)序貫配伍1靜脈序貫(SequentialSaphenousVeinGrafts)復(fù)合冠狀動(dòng)脈血運(yùn)重建

ComplexCoronaryReconstructions1靜脈序貫(SequentialSaphenousVeinGrafts)

3)外科技術(shù)復(fù)合冠狀動(dòng)脈血運(yùn)重建

ComplexCoronaryReconstructions1靜脈序貫(SequentialSaphenousVeinGrafts)

4)注意點(diǎn)：a長(zhǎng)短

b靜脈瓣

復(fù)合冠狀動(dòng)脈血運(yùn)重建

ComplexCoronaryReconstructions2乳內(nèi)動(dòng)脈序貫(SequentialandCompositeInternalThoracicArteryGrafts)

復(fù)合冠狀動(dòng)脈血運(yùn)重建

ComplexCoronaryReconstructions2乳內(nèi)動(dòng)脈序貫(SequentialandCompositeInternalThoracicArteryGrafts)

復(fù)合冠狀動(dòng)脈血運(yùn)重建

ComplexCoronaryReconstructions2乳內(nèi)動(dòng)脈序貫(SequentialandCompositeInternalThoracicArteryGrafts)

復(fù)合冠狀動(dòng)脈血運(yùn)重建

ComplexCoronaryReconstructions2乳內(nèi)動(dòng)脈序貫(SequentialandCompositeInternalThoracicArteryGrafts)

復(fù)合冠狀動(dòng)脈血運(yùn)重建

ComplexCoronaryReconstructions2乳內(nèi)動(dòng)脈序貫(SequentialandCompositeInternalThoracicArteryGrafts)

復(fù)合冠狀動(dòng)脈血運(yùn)重建

ComplexCoronaryReconstructions2乳內(nèi)動(dòng)脈序貫(SequentialandCompositeInternalThoracicArteryGrafts)

復(fù)合冠狀動(dòng)脈血運(yùn)重建

ComplexCoronaryReconstructions3橈動(dòng)脈橋(RadicalArteryGrafts)

復(fù)合冠狀動(dòng)脈血運(yùn)重建

ComplexCoronaryReconstructions3橈動(dòng)脈橋(RadicalArteryGrafts)

復(fù)合冠狀動(dòng)脈血運(yùn)重建

ComplexCoronaryReconstructions3橈動(dòng)脈橋(RadicalArteryGrafts)

復(fù)合冠狀動(dòng)脈血運(yùn)重建

ComplexCoronaryReconstructions4內(nèi)膜剝脫術(shù)(Endarterectomy)

開(kāi)放式復(fù)合冠狀動(dòng)脈血運(yùn)重建

ComplexCoronaryReconstructions4內(nèi)膜剝脫術(shù)(Endarterectomy)

開(kāi)放式復(fù)合冠狀動(dòng)脈血運(yùn)重