冠状动脉疾病的先进外科治疗
冠状动脉搭桥手术(CABG) increases blood flow to the heart by creating a bypass around blocked coronary arteries using a healthy blood vessel from another part of your body.
Our cardiac surgeons at Johns Hopkins provide patients with the latest surgical treatment for coronary artery disease from groundbreaking research. 我们提供全面的外科护理 locations 在马里兰州的巴尔的摩和大华盛顿特区.C. areas.
冠状动脉搭桥手术(CABG)中需要注意的事项
Better Patient Outcomes
We specialize in advanced surgical approaches for treating coronary artery disease which includes using more than one artery to bypass a blocked artery, 导致更好的长期患者预后和生存.
Comfortable Recovery
Most patients at Johns Hopkins leave the operating room without a breathing tube or have it removed within hours after surgery compared to other institutions where breathing tubes may be left in longer.
对妇女的特殊照顾
Universally, 女性的感染率更高, cabg手术后再入院率和死亡率. Our team is specialized in treating all women and are aware of factors unique to women that may indicate coronary artery disease.
冠状动脉搭桥手术常见问题
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Coronary artery disease occurs when your coronary arteries are blocked or narrowed, 到达心脏的血液和氧气减少，这可能导致心脏病发作, stroke and arrhythmia.
This type of heart disease can be treated by creating a bypass from the blocked artery using a healthy artery from another part of your body.
了解更多关于冠状动脉疾病的知识. -
Your doctor will review your health history and complete a thorough physical exam to ensure you are in good health before your procedure. 你将被要求接受诊断测试. 你可能会被要求在一段时间内不吃不喝.
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Under anesthesia, your doctor will make incisions in one or both of your legs or one of your wrists to access the blood vessels to be used for the grafts. 你的医生会从中间切开胸骨.
They will separate the halves of the breastbone and spread them apart to expose your heart to create the bypass.
这个过程通常需要住院5到7天. -
After you are released from the hospital you will need another adult to supervise and assist you 24 hours for one week when you return home. You will need to avoid lifting or driving for four weeks while the breast bone heals.
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You can prevent coronary artery disease by having a healthy lifestyle by doing the following:
- Quit smoking
- 吃有益心脏健康的食物
- 维持血糖水平
- 维持正常胆固醇水平
- 保持正常的身体质量指数(BMI)范围
- 增加体力活动
- Manage stress
Clinical Locations
Surgery Locations
冠脉搭桥手术一般研究
- Velez AK, Canner JK, Etchill E, Giuliano K, Alejo DE, Choi C, Kilic A, Schena S, Robert Whitman GJ, Lawton JS. Measures to Increase Use of Multiple Arterial Grafts for Isolated Coronary Artery Bypass Grafting. J Am Coll Surg. 2021 Feb 24:S1072-7515(21)00157-5. doi: 10.1016/j.jamcollsurg.2021.02.008. Epub ahead of print. PMID: 33636310.
- Gaudino MFL, Sandner S, Bonalumi G, Lawton JS, Fremes SE; Coronary Task Force of the European Association for Cardio-Thoracic Surgery. How to build a multi-arterial coronary artery bypass programme: a stepwise approach. Eur J Cardiothorac Surg. 2020年12月1日;58(6):1111-1117. doi: 10.1093/ejcts/ezaa377. PMID: 33247735; PMCID: PMC7824806.
- Barner HB, Bailey M, Guthrie TJ, Pasque MK, Moon MR, Damiano RJ Jr, Lawton JS. Radial artery free and T graft patency as coronary artery bypass conduit over a 15-year period. Circulation. 2012 Sep 11;126(11增刊1):S140-4. doi: 10.1161/CIRCULATIONAHA.111.081497. PMID: 22965974.
- Gaudino M, Chikwe J, Falk V, Lawton JS, Puskas JD, Taggart DP. Transatlantic editorial: the use of multiple arterial grafts for coronary revascularization in Europe and North America. Eur J Cardiothorac Surg. 2020年6月1日;57(6):1032-1037. doi: 10.1093/ejcts/ezaa077. PMID: 32191293; PMCID: PMC7821708.
- Melby SJ, Saint LL, Balsara K, Itoh A, Lawton JS, Maniar H, Pasque MK, Damiano RJ Jr, Moon MR. 完全冠状动脉血运重建术提高八十多岁老人的生存率. Ann Thorac Surg. 2016 Aug;102(2):505-11. doi: 10.1016/j.athoracsur.2016.01.065. Epub 2016 Apr 19. PMID: 27101730.
- 李志强，李志强，李志强，李志强，李志强，李志强. Evaluation of revascularization subtypes in octogenarians undergoing coronary artery bypass grafting. Circulation. 2009年9月15日;120(11增刊):S65-9. doi: 10.1161/CIRCULATIONAHA.108.844316. PMID: 19752388; PMCID: PMC2752867.
- Castillo-Sang M, Anastacio MM, Guthrie TJ, Maniar HS, Moon MR, Pasque MK, Damiano RJ, Lawton JS. Left main disease progression following left branch vessel percutaneous intervention in patients who are referred for coronary artery bypass grafting. J Card Surg. 2015 Jan;30(1):35-40. doi: 10.1111/jocs.12460. Epub 2014 Oct 17. PMID: 25327708.
- Lawton JS. 非体外循环冠状动脉旁路移植术. Mo Med. 2012 Jul-Aug; 109 (4): 277 - 80. PMID: 22953590; PMCID: PMC6179773.
- 罗顿·JS，小达米亚诺·RJ. 非体外循环冠状动脉旁路移植术:一项有价值的技术，但并不适用于所有人. Innovations (Phila). 2010 Jan;5(1):1-2. doi: 10.1097/IMI.0b013e3181d05568. PMID: 22437267.
- Damiano RJ Jr, Ducko CT, Stephenson ER Jr, Lawton JS, Kuenzler RO, Chambers CE. Robotically assisted coronary artery bypass grafting: a prospective single center clinical trial. J Card Surg. Jul-Aug 2000; 15 (4): 256 - 65. doi: 10.1111/j.1540-8191.2000.tb01287.x. PMID: 11758061.
CABG Surgery and Women
- Lawton JS. 冠状动脉疾病的性别差异. Semin胸心外科. 2011年夏季,23 (2):126 - 30. doi: 10.1053/j.semtcvs.2011.07.006. PMID: 22041042.
- 罗敦JS, Brister SJ, Petro KR, Dullum M. Surgical revascularization in women: unique intraoperative factors and considerations. 胸心外科. 2003 Oct;126(4):936-8. doi: 10.1016/s0022-5223(03)00805-5. PMID: 14566226.
- Lawton JS, Barner HB, Bailey MS, Guthrie TJ, Moazami N, Pasque MK, Moon MR, Damiano RJ Jr. 妇女桡动脉移植:应用和结果. Ann Thorac Surg. 2005 Aug;80(2):559-63. doi: 10.1016/j.athoracsur.2005.02.055. PMID: 16039204.
- Gaudino M, Alexander JH, Egorova N, Kurlansky P, Lamy A, Bakaeen F, Hameed I, Di Franco A, Demetres M, Robinson NB, Chikwe J, Lawton JS, Devereaux PJ, Taggart DP, Flather M, Reents W, Boening A, Diegeler A, Girardi LN, Fremes SE, Benedetto U. Sex-related differences in outcomes after coronary artery bypass surgery-A patient-level pooled analysis of randomized controlled trials: rationale and study protocol. J Card Surg. 2020年10月,35 (10):2754 - 2758. doi: 10.1111/jocs.14903. Epub 2020 Jul 27. PMID: 32720394.
- Enumah ZO, Canner JK, Alejo D, Warren DS, Zhou X, Yenokyan G, Matthew T, Lawton JS, Higgins RSD. Persistent Racial and Sex Disparities in Outcomes After 冠状动脉搭桥手术: A Retrospective Clinical Registry Review in the Drug-eluting Stent Era. Ann Surg. 2020年10月,272 (4):660 - 667. doi: 10.1097/SLA.0000000000004335. PMID: 32932322.
- Hogue CW Jr, Palin CA, Kailasam R, Lawton JS, Nassief A, Dávila-Román VG, Thomas B, Damiano R. 女性心脏手术后c反应蛋白水平与房颤的关系. Ann Thorac Surg. 2006 Jul;82(1):97-102. doi: 10.1016/j.athoracsur.2006.02.043. PMID: 16798197; PMCID: PMC1780029.