Læknaneminn - 01.10.1979, Side 15

Samanteht
Kransæðaaðgerðir hafa smátt og smátt öðlast sinn
sess í meðferð á kransæðasjúkdómi og dauðsföll í
sambandi við þessar aðgerðir hafa stöðugt farið
minnkandi. Þetta má rekja til betri svæfinga en áður
tíðkuðust, betri hjarta- og lungnavéla við aðgerðirn-
ar og aukinnar þekkingar á kransæðasjúkdómi. Nú
á dögum er aðgerðardauði á flestum stöðum, sem
við þessa vinnu fást, minni en 4%. Með því að velja
sjúklinga rétt í kransæðaaðgerðir má ná mun betri
árangri, en með því að nota lyflæknismeðferð ein-
göngu.
(Aðferðir, sem lýst er í máli og myndum, eru frá
Cleveland Clinic).
HEIMILDIR:
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normal Coronary Ateriograms. A Followup Study on 500
Patients. Circulation XLVII: 936-945, 1973.
3 Cheanvechai C. Carcia JM, Effler DB: Internal Mam-
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4 Cheanvechai C., Joseph R. Hooper, M. D. et al: Emer-
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5 Feola M. Wiener L., Walinsky P., et al: Improved Sur-
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6 Froelicher VF. Yanowitz FG, Thompson AJ, Lancaster
MC: The Correlation of Coronary Angiography and The
Electrocardiographic Response to Maximal Treadmill
Testing in 76 Asymptomatic Men. Circulation XLVII:
597-604, 1973.
7 Gensini GG: Indications for Cardiac Cathererization,
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-68, July 1975.
8 Griepp RB, Stinson EB, Oyer PE. Copeland JG, Shuni-
way NE: The Superiority of Aortic Cross-Clamping With
Profound Local Hypothermia for Myocardial Protection
During Aorta-Coronary Bypass Grafting. .). Thoracic Car-
diovas Surg. 70: VI, 995-1008. 1975.
9 Grondin CM, Limet R: Sequential anastomoses in cor-
onary artery grafting: technical aspets and early and late
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10 Hutter AM: Evaluation of the Patient With Coronary Ar-
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11 Kirklin, John W. M.D., Nicolas T. Kouchoukos, M.D.,
Eugene H. Blackstone, M.D., and Albert Oherman, M.D.:
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12 Lapin ES, Murray JA, Bruce RA, Winterschid L: Chan-
ges in Maximal Exercise Performance in the Evaluation
of Saphenous Vein Bypass Surgery. Circulation XLVII,
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13 Lawrie GM, Morris GC: Factors Influencing Late Sur-
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14 Murphy ML, Hultegren HN, Detre K. Thomsen J. Ta-
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15 P'éterson KL. Uther JB, Shabetai R, Braunwald E. As-
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16 Read RC, Murphy ML, Hultgren HN, Takaro T: Sur-
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LÆKNANEMINN
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