Volume 20 Issue 11
Nov.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(11): 1978-1981
ZHANG Yu-yan, FU Qin, DIAO Wen-jie, SHI Chao, YU Chao-wen, LIU Xue-gang. Experience in coordination in thoracic aortic hybrid surgery[J]. Chinese Journal of General Practice, 2022, 20(11): 1978-1981. doi: 10.16766/j.cnki.issn.1674-4152.002750
Citation: ZHANG Yu-yan, FU Qin, DIAO Wen-jie, SHI Chao, YU Chao-wen, LIU Xue-gang. Experience in coordination in thoracic aortic hybrid surgery[J]. Chinese Journal of General Practice, 2022, 20(11): 1978-1981. doi: 10.16766/j.cnki.issn.1674-4152.002750
shu

Experience in coordination in thoracic aortic hybrid surgery

doi: 10.16766/j.cnki.issn.1674-4152.002750
  • 1.

    Operating Room, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 1804h08020280

 KJ2021A0820

  • Received Date: 2022-02-11
    Available Online: 2022-12-30
    Abstract
  •   Objective  To explore the key points of cooperation between thoracic endovascular aortic repair (TEVAR) and hybrid cervical vascular bypass+TEVAR, so as to improve the efficiency and safety of the operation.  Methods  A total of 130 patients with the aortic disease treated in the First Affiliated Hospital of Bengbu Medical College from January 2020 to December 2021 were reviewed, including 101 patients underwent TEVAR surgery alone (the TEVAR group) and 29 patients underwent hybrid cervical vascular bypass+TEVAR surgery (the hybrid operation group). The gender, age, weight, height, complications, as well as the preoperative preparation, intraoperative cooperation and experience of the two different surgical methods were analysed.  Results  All patients in the two groups completed surgery. In the TEVAR group, the operation time was (116.32±37.15) min, the postoperative hospital stay was (7.45±3.88) days, and there was 1 case of postoperative inguinal incision lymphatic leakage. Meanwhile, in the hybrid operation group, the operation time was (261.07±57.39) min, and the hospital stay was (11.66±6.32) days. There were no serious complications in both groups.  Conclusion  Hybrid composite operating room nurses to high standards of preoperative preparation, intraoperative and postoperative nursing, and skilled operation coordination can improve the TEVAR and hybrid cervical vascular bypass + TEVAR operation efficiency and operation safety.

     

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    • References(24)
  • [1]
    BOSSONE E, EAGLE K A. Epidemiology and management of aortic disease: Aortic aneurysms and acute aortic syndromes[J]. Nat Rev Cardiol, 2021, 18(5): 331-348. doi: 10.1038/s41569-020-00472-6
    [2]
    中国医师协会心血管外科分会大血管外科专业委员会. 急性主动脉综合征诊断与治疗规范中国专家共识(2021版)[J]. 中华胸心血管外科杂志, 2021, 37(5): 257-269.

    Committee of Great Vessels of Chinese Association of Cardiovascular Surgeons, ZHANG H J, SUN L Z, et al. Chinese experts'consensus of standardized diagnosis and treatment for acute aortic syndrome(2021)[J]. Chinese Journal of Thoracic and Cardiovascular Surgery, 2021, 37(5): 257-269.
    [3]
    BOSSONE E, RANIERI B, ROMANO L, et al. Acute aortic syndromes: Diagnostic and therapeutic pathways[J]. Heart Fail Clin, 2020, 16(3): 305-315. doi: 10.1016/j.hfc.2020.03.002
    [4]
    ESPOSITO D, GONFIANTINI F, FARGIONA A T, et al. Hybrid operating room applications in the increasingly complex endovascular era: The trump card of modern vascular surgery[J]. Ann Surg Treat Res, 2021, 100(1): 54-58. doi: 10.4174/astr.2021.100.1.54
    [5]
    MCLIURE R S, BERRY R F, DAGENAIS F, et al. The many care models to treat thoracic aortic disease in Canada: A nationwide survey of cardiac surgeons, cardiologists, interventional radiologists, and vascular surgeons[J]. CJC Open, 2021, 3(6): 787-800. doi: 10.1016/j.cjco.2021.02.005
    [6]
    PATEL S, LINDENBERG M, ROVERS M M, et al. Understanding the costs of surgery: A bottom-up cost analysis of both a Hybrid operating room and conventional operating room[J]. Int J Health Policy Manag, 2022, 11(3): 299-307.
    [7]
    JIN H, LU L G, LIU J W, et al. A systematic review on the application of the hybrid operating room in surgery: Experiences and challenges[J]. Updates Surg, 2022, 74(2): 403-415. doi: 10.1007/s13304-021-00989-6
    [8]
    KIM G, NATCHEVA H. Imaging of cardiovascular thoracic emergencies: Acute aortic syndrome and pulmonary embolism[J]. Radiol Clin North Am, 2019, 57(4): 787-794. doi: 10.1016/j.rcl.2019.02.012
    [9]
    BOSSONE E, LABOUNTY T M, EAGLE K A. Acute aortic syndromes: Diagnosis and management, an update[J]. Eur Heart J, 2018, 39(9): 739-749d. doi: 10.1093/eurheartj/ehx319
    [10]
    高宏波, 尤海涛, 赵泐. C臂DSA机与CT机的联合导向在介入手术中的应用[J]. 中国医疗器械信息, 2021, 27(17): 71-72. doi: 10.3969/j.issn.1006-6586.2021.17.029

    GAO H B, YOU H T, ZHAO L. Application of combined guidance of C-Arm DSA and CT in interventional surgery[J]. China Medical Device Information, 2021, 27(17): 71-72. doi: 10.3969/j.issn.1006-6586.2021.17.029
    [11]
    张玲玲, 刘艳. MR高压注射器使用操作技巧与注意事项[J]. 影像研究与医学应用, 2020, 4(9): 114-115. https://www.cnki.com.cn/Article/CJFDTOTAL-YXYY202009066.htm

    ZHANG L L, LIU Y. Operation skills and precautions of MR High-pressure syringe[J]. Journal of Imaging Research and Medical Applications, 2020, 4(9): 114-115. https://www.cnki.com.cn/Article/CJFDTOTAL-YXYY202009066.htm
    [12]
    姚媛, 金艳, 纪媛媛, 等. Stanford B型主动脉夹层介入手术围手术期综合护理[J]. 西南国防医药, 2021, 31(4): 331-333. https://www.cnki.com.cn/Article/CJFDTOTAL-XNGF202104015.htm

    YAO Y, JIN Y, JI Y Y, et al. Comprehensive nursing in perioperative period of intervention operation of Stanford type B aortic dissection[J]. Medical Journal of National Defending Forces in Southwest China, 2021, 31(4): 331-333. https://www.cnki.com.cn/Article/CJFDTOTAL-XNGF202104015.htm
    [13]
    齐瑞东, 朱俊明, 陈雷, 等. 支架象鼻置入联合左锁骨下动脉-左颈总动脉转流术治疗急性Stanford B型主动脉夹层累及远端主动脉弓的临床经验[J]. 中国医药, 2018, 13(1): 36-39. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG201801010.htm

    QI R D, ZHU J M, CHEN L, et al. Clinical experience in the treatment of acute Stanford Type B aortic dissection involving distal aortic arch with stenting and left subclavian artery-left common carotid artery bypass[J]. China Medicine, 2018, 13(1): 36-39. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG201801010.htm
    [14]
    乔杰, 赵婵, 蔡华玲. 急性期A型主动脉夹层患者情绪反应及Roy适应模式临床管理效果分析[J]. 中国医药, 2021, 16(5): 676-679. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG202105008.htm

    QIAO J, ZHAO C, CAI H L. Analysis of emotional response and clinical management effect of Roy adaptation model in patients with acute type A aortic dissection[J]. China Medicine, 2021, 16(5): 676-679. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG202105008.htm
    [15]
    陈盛帆, 黄建琪, 高正. 手术室高值耗材智能管理系统的开发[J]. 中国医疗器械杂志, 2021, 45(1): 42-45. doi: 10.3969/j.issn.1671-7104.2021.01.009

    CHEN S F, HUANG J Q, GAO Z. Development of intelligent management system for high value consumable material in operating room[J]. Chinese Journal of Medical Instrumentation, 2021, 45(1): 42-45. doi: 10.3969/j.issn.1671-7104.2021.01.009
    [16]
    沈剑辉, 高兴莲, 鄢利芳, 等. 经心尖入路主动脉瓣植入术老年患者的手术期护理[J]. 护理学杂志, 2018, 33(18): 46-48. doi: 10.3870/j.issn.1001-4152.2018.18.046

    CHEN J H, GAO X L, YAN L F, et al. Intra-operative nursing care of elder patients undergoing aortic valve implantation through apical approach[J]. Journal of Nursing Science, 2018, 33(18): 46-48. doi: 10.3870/j.issn.1001-4152.2018.18.046
    [17]
    ROGUIN A, NOLAN J. Radiation protection in the cardiac catheterisation lab: Best practice[J]. Heart, 2021, 107(1): 76-82. doi: 10.1136/heartjnl-2019-316369
    [18]
    PLOUSSI A, EFSTATHOPOULOS E P, BROUNTZOS E. The importance of radiation protection education and training for medical professionals of all specialties[J]. Cardiovasc Intervent Radiol, 2021, 44(6): 829-834. doi: 10.1007/s00270-020-02744-7
    [19]
    NG K H, BRADY Z, NG A H, et al. The status of radiation protection in medicine in the Asia-Pacific region[J]. J Med Imaging Radiat Oncol, 2021, 65(4): 464-470. doi: 10.1111/1754-9485.13165
    [20]
    SCHUETZE K, EICKHOOFFA, DEHNER C, et al. Radiation exposure for the surgical team in a hybrid-operating room[J]. J Robot Surg, 2019, 13(1): 91-98. doi: 10.1007/s11701-018-0821-6
    [21]
    JÖNSSON M, BERG S K, MISSEL M, et al. Am I going to die now? Experiences of hospitalisation and subsequent life after being diagnosed with aortic dissection[J]. Scand J Caring Sci, 2021, 35(3): 929-936. doi: 10.1111/scs.12912
    [22]
    LIN Y J, CHEN Y P, PENG Y C, et al. Symptoms of post-traumatic stress disorder and associated risk factors in type A aortic dissection[J]. J Cardiovasc Surg (Torino), 2021, 62(3): 286-293.
    [23]
    肖佳. 心理暗示联合营养照护A型夹层术后患者心理弹性、营养状况及睡眠质量的影响[J]. 心血管外科杂志: 电子版, 2020, 9(2): 28. doi: 10.3969/j.issn.2095-2260.2020.02.023

    XIAO J. Effects of psychological suggestion combined with nutritional care on psychological resilience, nutritional status and sleep quality of patients after Type A dissection[J]. Journal of Cardiovascular Surgery (Electronic Edition), 2020, 9(2): 28. doi: 10.3969/j.issn.2095-2260.2020.02.023
    [24]
    陈晓菁. 综合性介入治疗的规范化护理管理模式构建[J]. 中外医学研究, 2019, 17(4): 115-116. doi: 10.14033/j.cnki.cfmr.2019.04.055

    CHEN X J. Construction of standardized nursing management model for comprehensive interventional therapy[J]. Chinese and Foreign Medical Research, 2019, 17(4): 115-116. doi: 10.14033/j.cnki.cfmr.2019.04.055
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