Application of Minimal Extracorporeal Circulation in the Aortic Valve Replacement_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

熊德生

武漢亞洲心臟病醫院體外循環科（武漢 430022）;

Corresponding?author：

Keywords：

主動脈瓣置換術; 微創; 體外循環

DOI：

10.7507/1007-4848.20150290

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目的觀察微創體外循環（minimal extracorporeal circulation，MECC）對主動脈瓣置換術臨床效果的影響。方法回顧性分析我院2010年3月至2012年10月共25例應用MECC方法行單純主動脈瓣置換術（AVR）的臨床資料，其中男15例、女10例，年齡40（19～58）歲。結果總體外循環時間67（51～89）min、主動脈阻斷時間42（33～63）min、轉流中最低血紅蛋白（Hb）9.6（8.3～12.6）g/dl、流轉后Hb 9.5（7.7～12.6）g/dl，體外循環中無1例患者因Hb低而輸入紅細胞。所有患者均順利拔除胸腔引流管，順利出院，無院內死亡。結論 MECC系統應用于主動脈瓣置換安全可行，比傳統心肺旁路系統具有更好的生物相容性和良好的臨床結果，值得推廣。

Citation： 熊德生. Application of Minimal Extracorporeal Circulation in the Aortic Valve Replacement. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(12): 1170-1172. doi: 10.7507/1007-4848.20150290 Copy

1.	Fromes Y, Gaillard D, Ponzio O, et al. Reduction of the inflammatory response following coronary bypass grafting with total minimal extracorporeal circulation. Eur J Cardiothorac Surg, 2002, 22(4):527-533.
2.	Remadi JP, Rakotoarivello Z, Marticho P, et al. Aortic valve replacement with the minimal extracorporeal circulation (Jostra MECC System) versus standard cardiopulmonary bypass:a randomized prospective trial. J Thorac Cardiovasc Surg, 2004, 128(3):436-441.
3.	Panday GF, Fischer S, Bauer A, et al. Minimal extracorporeal circulation and off-pump compared to conventional cardiopulmonary bypass in coronary surgery. Interact Cardio Vasc Thorac Surg, 2009, 9(5):832-836.
4.	Harig F, Feyrer R, Mahmoud F, et al. Reducing the post-pump syndrome by using heparin-coated circuits, steroids, or aprotinin. Thorac Cardiovasc Surg, 1999, 47(2):111-118.
5.	Schonberger J, Everts P, Hoffmann J. Systemic blood activation with open and closed venous reservoirs. Ann Thorac Surg, 1999, 59(6):1549-1555.
6.	劉燕, 崔虎軍, 陶涼. 微創體外循環對冠狀動脈旁路移植術患者圍手術期血液保護的臨床研究. 中華外科雜志, 2011, 49(4):307-310.
7.	熊德生. 微創體外循環對冠狀動脈旁路移植術的臨床效果觀察. 臨床外科雜志, 2013, 21 (8):631-633.
8.	Remadi JP, Rakotoarivelo Z, Marticho P, et al. Prospective randomized study comparing coronary artery bypass grafting with the new mini-extracorporeal circulation Jostra system or with a standard cardiopulmonary bypass. Am Heart J, 2006, 151(1):198.
9.	Sjatskig J1, Yilmaz A, van Boven JW, et al. Feasibility of mitral valve surgery using minimal extracorporeal circulation. Perfusion, 2012, 27(4):264-268.
10.	Donndorf P, Kühn F, Vollmar B,et al. Comparing microvascular alterations during minimal extracorporeal circulation and conventional cardiopulmonary bypass in coronary artery bypass graft surgery:a prospective, randomized study. J Thorac Cardiovasc Surg, 2012, 144(3):677-683.
11.	Anastasiadis K, Argiriadou H, Kosmidis MH, et al. Neurocognitive outcome after coronary artery bypass surgery using minimal versus conventional extracorporeal circulation:a randomised controlled pilot study. Heart, 2011, 97(13):1082-1088.
12.	Anastasiadis K, Hadjimiltiades S, Antonitsis P. Successful high-risk percutaneous coronary intervention with the use of minimal extracorporeal circulation system. Catheter Cardiovasc Interv, 2012, 80(5):845-849.
13.	Anastasiadis K, Fragoulakis V, Antonitsis P, et al. Coronary artery bypass grafting with minimal versus conventional extracorporeal circulation; an economic analysis. Int J Cardiol, 2013, 168(6):5336-5343.

1. Fromes Y, Gaillard D, Ponzio O, et al. Reduction of the inflammatory response following coronary bypass grafting with total minimal extracorporeal circulation. Eur J Cardiothorac Surg, 2002, 22(4):527-533.
2. Remadi JP, Rakotoarivello Z, Marticho P, et al. Aortic valve replacement with the minimal extracorporeal circulation (Jostra MECC System) versus standard cardiopulmonary bypass:a randomized prospective trial. J Thorac Cardiovasc Surg, 2004, 128(3):436-441.
3. Panday GF, Fischer S, Bauer A, et al. Minimal extracorporeal circulation and off-pump compared to conventional cardiopulmonary bypass in coronary surgery. Interact Cardio Vasc Thorac Surg, 2009, 9(5):832-836.
4. Harig F, Feyrer R, Mahmoud F, et al. Reducing the post-pump syndrome by using heparin-coated circuits, steroids, or aprotinin. Thorac Cardiovasc Surg, 1999, 47(2):111-118.
5. Schonberger J, Everts P, Hoffmann J. Systemic blood activation with open and closed venous reservoirs. Ann Thorac Surg, 1999, 59(6):1549-1555.
6. 劉燕, 崔虎軍, 陶涼. 微創體外循環對冠狀動脈旁路移植術患者圍手術期血液保護的臨床研究. 中華外科雜志, 2011, 49(4):307-310.
7. 熊德生. 微創體外循環對冠狀動脈旁路移植術的臨床效果觀察. 臨床外科雜志, 2013, 21 (8):631-633.
8. Remadi JP, Rakotoarivelo Z, Marticho P, et al. Prospective randomized study comparing coronary artery bypass grafting with the new mini-extracorporeal circulation Jostra system or with a standard cardiopulmonary bypass. Am Heart J, 2006, 151(1):198.
9. Sjatskig J1, Yilmaz A, van Boven JW, et al. Feasibility of mitral valve surgery using minimal extracorporeal circulation. Perfusion, 2012, 27(4):264-268.
10. Donndorf P, Kühn F, Vollmar B,et al. Comparing microvascular alterations during minimal extracorporeal circulation and conventional cardiopulmonary bypass in coronary artery bypass graft surgery:a prospective, randomized study. J Thorac Cardiovasc Surg, 2012, 144(3):677-683.
11. Anastasiadis K, Argiriadou H, Kosmidis MH, et al. Neurocognitive outcome after coronary artery bypass surgery using minimal versus conventional extracorporeal circulation:a randomised controlled pilot study. Heart, 2011, 97(13):1082-1088.
12. Anastasiadis K, Hadjimiltiades S, Antonitsis P. Successful high-risk percutaneous coronary intervention with the use of minimal extracorporeal circulation system. Catheter Cardiovasc Interv, 2012, 80(5):845-849.
13. Anastasiadis K, Fragoulakis V, Antonitsis P, et al. Coronary artery bypass grafting with minimal versus conventional extracorporeal circulation; an economic analysis. Int J Cardiol, 2013, 168(6):5336-5343.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Application of Minimal Extracorporeal Circulation in the Aortic Valve Replacement

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