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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 1 - 10 (10page)
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Background: This study aimed to review the long-term clinical outcomes and graft patency of coronary artery bypass grafting (CABG) using arterial grafts in patients with Kawasaki disease (KD) affecting the coronary artery. Methods: Twenty patients with KD who underwent CABG from January 2002 to June 2014 were enrolled. There were 4 male (20%) and 16 female (80%) patients with ages at operation ranging from 2 to 42 years (median, 17.5 years). Our routine operative strategy was off-pump CABG with arterial grafts. The mean follow-up duration was 59.5 ± 48.5 months (range, 1–159 months). Coronary angiogram or computed tomography angiogram was used to evaluate graft patency in 16 patients (80%). Results: All patients survived CABG without late mortality. Left internal thoracic arteries were used in 19 patients, while right internal thoracic arteries were used in 10 patients. Right gastroepiploic arteries were used in 3 patients, and a saphenous vein graft (SVG) was used in 1 patient. Among the 20 patients, 2 patients underwent coronary reintervention with balloon angioplasty because of graft failure. Two patients underwent coronary reintervention because of new obstructive lesions that were not significant at the time of the initial operation. Patency rates at 5 and 10 years were 94% and 87%, respectively. The rate of freedom from coronary reintervention at 10 years was 82%. Conclusion: Off-pump CABG with mainly arterial graft revascularization may be considered a good surgical option for coronary lesions caused by KD.
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참고문헌 (24)
참고문헌 신청
하상미 / 2016 / Epidemiologic Study on Kawasaki Disease in Korea, 2007-2014: Based on Health Insurance Review & Assessment Service Claims / Journal of Korean Medical Science 31(9):1445~1449
Kato H / 1996 / Long-term consequences of Kawasaki disease. A 10- to 21-year follow-up study of 594 patients / Circulation 94(6):1379~1385
Akagi T / 2000 / Catheter interventional treatment in Kawasaki disease: a report from the Japanese pediatric interventional cardiology investigation group / J Pediatr 137(2):181~186
Ino T / 1996 / Application of percutaneous transluminal coronary angioplasty to coronary arterial stenosis in Kawasaki disease / Circulation 93(9):1709~1715
Ogawa S / 1997 / Silent myocardial ischemia in Kawasaki disease: evaluation of percutaneous transluminal coronary angioplasty by dobutamine stress testing / Circulation 96(10):3384~3389
Kato H / 1996 / Long-term consequences of Kawasaki disease. A 10- to 21-year follow-up study of 594 patients / Circulation 94(6):1379~1385
Akagi T / 2000 / Catheter interventional treatment in Kawasaki disease: a report from the Japanese pediatric interventional cardiology investigation group / J Pediatr 137(2):181~186
Ino T / 1996 / Application of percutaneous transluminal coronary angioplasty to coronary arterial stenosis in Kawasaki disease / Circulation 93(9):1709~1715
Ogawa S / 1997 / Silent myocardial ischemia in Kawasaki disease: evaluation of percutaneous transluminal coronary angioplasty by dobutamine stress testing / Circulation 96(10):3384~3389
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