WEKO3
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This is being challenged with the resurgence of an old technique involving operating on the beating heart, which is associated with lower morbidity. There is little longterm data on the success of off-pump coronary revascularization, hence this polarizing debate as to which surgery is superior continues. [Aims] To evaluate whether off-pump coronary artery bypass grafting (OPCAB) reduces postoperative morbidity compared to conventional coronary artery bypass grafting (CABG) and to compare completeness of revascularization in both groups. [Methods] Twenty patients who underwent OPCAB and 20 patients who underwent CABG with CPB were selected at random from May 2000-June 2005. Postoperative complications, completeness of revascularization and ICU stay were compared and analyzed. [Results] The CK-MB in the on-pump group was (36.9 NG/ML) compared to (18.35 NG/ML) in the off-pump group (p = 0.026). Mean ICU stay was significantly different in both groups (p = 0.043). The index of completeness of revascularization was similar with no significant difference in graft number and patency. [Conclusion] When compared to conventional CABG, OPCAB achieved significantly shorter ICU stay, less myocardial injury and similar completeness of revascularization indicating that it is an attractive alternative to conventional CABG.", "subitem_description_type": "Abstract"}]}, "item_10001_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "298988", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "山嵜, 健二"}]}, {"nameIdentifiers": [{"nameIdentifier": "298989", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "小林, 健介"}]}, {"nameIdentifiers": [{"nameIdentifier": "298990", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "木原, 信一郎"}]}, {"nameIdentifiers": [{"nameIdentifier": "298991", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "黒澤, 博身"}]}]}, "item_10001_publisher_8": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "東京女子医科大学学会"}]}, "item_10001_source_id_11": {"attribute_name": "NCID", "attribute_value_mlt": [{"subitem_source_identifier": "AN00161368", "subitem_source_identifier_type": "NCID"}]}, "item_10001_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0040-9022", "subitem_source_identifier_type": "ISSN"}]}, "item_10001_subject_47": {"attribute_name": "著者キーワード", "attribute_value_mlt": [{"subitem_subject": "off-pump coronary artery bypass grafting", "subitem_subject_scheme": "Other"}, {"subitem_subject": "cardiopulmonary bypass", "subitem_subject_scheme": "Other"}]}, "item_10001_text_35": {"attribute_name": "著者所属", "attribute_value_mlt": [{"subitem_text_value": "University of Wales College of Medicine:Department of Cardiovascular Surgery, Tokyo Women\u0027s Medical University School of Medicine"}, {"subitem_text_value": "Department of Cardiovascular Surgery, Tokyo Women\u0027s Medical University School of Medicine"}, {"subitem_text_value": "Department of Cardiovascular Surgery, Tokyo Women\u0027s Medical University School of Medicine"}, {"subitem_text_value": "Department of Cardiovascular Surgery, Tokyo Women\u0027s Medical University School of Medicine"}, {"subitem_text_value": "Department of Cardiovascular Surgery, Tokyo Women\u0027s Medical University School of Medicine"}, {"subitem_text_value": "ウェールズ大学医学部:東京女子医科大学医学部心臓血管外科学"}, {"subitem_text_value": "東京女子医科大学医学部心臓血管外科学"}, {"subitem_text_value": "東京女子医科大学医学部心臓血管外科学"}, {"subitem_text_value": "東京女子医科大学医学部心臓血管外科学"}, {"subitem_text_value": "東京女子医科大学医学部心臓血管外科学"}]}, "item_10001_version_type_20": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_970fb48d4fbd8a85", "subitem_version_type": "VoR"}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2017-08-22"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "KJ00006018103.pdf", "filesize": [{"value": "689.2 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 689200.0, "url": {"label": "KJ00006018103.pdf", "url": "https://twinkle.repo.nii.ac.jp/record/19822/files/KJ00006018103.pdf"}, "version_id": "84140cb1-98b2-478a-890a-bca4fb19fa4d"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Does Off-Pump Coronary Artery Bypass Grafting Offer Patients a Better Outcome than Conventional Bypass Surgery? : Retrospective Study Carried Out at Tokyo Women\u0027s Medical University Hospital", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Does Off-Pump Coronary Artery Bypass Grafting Offer Patients a Better Outcome than Conventional Bypass Surgery? : Retrospective Study Carried Out at Tokyo Women\u0027s Medical University Hospital"}]}, "item_type_id": "10001", "owner": "3", "path": ["2008"], "permalink_uri": "http://hdl.handle.net/10470/27121", "pubdate": {"attribute_name": "公開日", "attribute_value": "2010-08-10"}, "publish_date": "2010-08-10", "publish_status": "0", "recid": "19822", "relation": {}, "relation_version_is_last": true, "title": ["Does Off-Pump Coronary Artery Bypass Grafting Offer Patients a Better Outcome than Conventional Bypass Surgery? : Retrospective Study Carried Out at Tokyo Women\u0027s Medical University Hospital"], "weko_shared_id": -1}
Does Off-Pump Coronary Artery Bypass Grafting Offer Patients a Better Outcome than Conventional Bypass Surgery? : Retrospective Study Carried Out at Tokyo Women's Medical University Hospital
http://hdl.handle.net/10470/27121
http://hdl.handle.net/10470/271214744a4a1-8ae1-4e40-bb23-7440ef9628a0
名前 / ファイル | ライセンス | アクション |
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KJ00006018103.pdf (689.2 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2010-08-10 | |||||
タイトル | ||||||
タイトル | Does Off-Pump Coronary Artery Bypass Grafting Offer Patients a Better Outcome than Conventional Bypass Surgery? : Retrospective Study Carried Out at Tokyo Women's Medical University Hospital | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
別タイトル | ||||||
その他のタイトル | 心拍動下冠動脈バイパス術は従来の冠動脈バイパス術と比較して優位性があるか : 東京女子医科大学における検討 | |||||
著者名 |
KAMYA, Cyril
× KAMYA, Cyril× YAMAZAKI, Kenji× KOBAYASHI, Kensuke× KIHARA, Shin'ichiro× KUROSAWA, Hiromi |
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著者別名 | ||||||
姓名 | 山嵜, 健二 | |||||
著者別名 | ||||||
姓名 | 小林, 健介 | |||||
著者別名 | ||||||
姓名 | 木原, 信一郎 | |||||
著者別名 | ||||||
姓名 | 黒澤, 博身 | |||||
出版者 | ||||||
出版者 | 東京女子医科大学学会 | |||||
受付日付 | ||||||
日付 | 2010-08-10 | |||||
日付タイプ | Created | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0040-9022 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00161368 | |||||
書誌情報 |
東京女子医科大学雑誌 巻 76, 号 4, p. 160-167, 発行日 2006-04 |
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著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 過去30年間に渡って冠動脈再建術は人工心肺の使用が必要不可欠とされてきたが,またその使用が死亡率,合併症率を高める一因とも考えられてきた.現在では人工心肺非使用心拍動下冠動脈バイパス術は広く一般に行われつつあるが,依然としていずれの方法が優位性を持つかは議論が続けられている.[目的]人工心肺使用冠動脈バイパス術(on-pump CABG : on-pump群)と心拍動下冠動脈バイパス術(of-pump CABG : off-pump群)における優位性を比較検討した.[方法]2000年5月~2005年6月までに行われたすべての冠動脈再建術患者のうち,on-pump群患者20名とoff-pump群患者20名を無作為に抽出し,死亡率,合併症発生率,完全血行再建率,グラフト開存率,集中治療室滞在日数等を比較検討した.[結果]術後クレアチニンキナーゼのMB分圓(CK-MB)はon-pump群で36.9NG/Ml, off-pump群で18.35NG/Mlとoff-pump群で有意に低値であった(p=0.026).平均集中治療室滞在日数はon-pump群で4.5日長期であった(p=0.043).完全血行再建率は両群で有意差を認めなかった. | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | [Background] For 3 decade's surgical coronary revascularization has been carried out with the use of cardiopulmonary bypass (CPB) as the gold standard. This is being challenged with the resurgence of an old technique involving operating on the beating heart, which is associated with lower morbidity. There is little longterm data on the success of off-pump coronary revascularization, hence this polarizing debate as to which surgery is superior continues. [Aims] To evaluate whether off-pump coronary artery bypass grafting (OPCAB) reduces postoperative morbidity compared to conventional coronary artery bypass grafting (CABG) and to compare completeness of revascularization in both groups. [Methods] Twenty patients who underwent OPCAB and 20 patients who underwent CABG with CPB were selected at random from May 2000-June 2005. Postoperative complications, completeness of revascularization and ICU stay were compared and analyzed. [Results] The CK-MB in the on-pump group was (36.9 NG/ML) compared to (18.35 NG/ML) in the off-pump group (p = 0.026). Mean ICU stay was significantly different in both groups (p = 0.043). The index of completeness of revascularization was similar with no significant difference in graft number and patency. [Conclusion] When compared to conventional CABG, OPCAB achieved significantly shorter ICU stay, less myocardial injury and similar completeness of revascularization indicating that it is an attractive alternative to conventional CABG. | |||||
著者所属 | ||||||
University of Wales College of Medicine:Department of Cardiovascular Surgery, Tokyo Women's Medical University School of Medicine | ||||||
著者所属 | ||||||
Department of Cardiovascular Surgery, Tokyo Women's Medical University School of Medicine | ||||||
著者所属 | ||||||
Department of Cardiovascular Surgery, Tokyo Women's Medical University School of Medicine | ||||||
著者所属 | ||||||
Department of Cardiovascular Surgery, Tokyo Women's Medical University School of Medicine | ||||||
著者所属 | ||||||
Department of Cardiovascular Surgery, Tokyo Women's Medical University School of Medicine | ||||||
著者所属 | ||||||
ウェールズ大学医学部:東京女子医科大学医学部心臓血管外科学 | ||||||
著者所属 | ||||||
東京女子医科大学医学部心臓血管外科学 | ||||||
著者所属 | ||||||
東京女子医科大学医学部心臓血管外科学 | ||||||
著者所属 | ||||||
東京女子医科大学医学部心臓血管外科学 | ||||||
著者所属 | ||||||
東京女子医科大学医学部心臓血管外科学 | ||||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | off-pump coronary artery bypass grafting | |||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | cardiopulmonary bypass |