coronary heart disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18-80 years; 2. During the coronary artery bypass grafting operation, the anastomosis of the graft vessel cannot complete the conventional coronary anastomosis (the coronary intima at the anastomosis is thickened to a lumen diameter < 1 mm, or the intima at the distal end of the coronary anastomosis is thickened to a lumen diameter < 1 mm, or the coronary artery at the anastomosis is stratified due to atherosclerosis) and undergoes coronary endarterectomy (CE); 3. Patients with more than one coronary target vessel undergoing CE surgery and no new Q-wave ECG changes before intravenous administration.
Exclusion criteria
Exclusion criteria: 1. Patients with preoperative echocardiography showing ejection fraction = 5 points, serum HBsAg positive, HBeAg positive, HCV-RNA positive, anti-HCV positive patients; 9. Patients with known coagulation dysfunction, abnormal platelet history or thrombocytopenia (preoperative platelet count < 150000 /mm3) before operation; 10. Patients with active internal hemorrhage, intracranial hemorrhage, intracranial tumor, arteriovenous malformation and aneurysm; 11. Bleeding within half a year, including gastrointestinal bleeding or clinically significant urogenital bleeding; 12. History of hemorrhagic or ischemic stroke within half a year.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Grading of perioperative bleeding in adult cardiac surgery;thrombolysis in myocardial infarction (TIMI) in 30 days;Incidence rate of major adverse cardiovascular and cerebrovascular events 30 days after operation; | — |
Secondary
| Measure | Time frame |
|---|---|
| all-cause motality;nonfatal myocardial infarction;nonfatal stroke; | — |
Countries
China
Contacts
Capital Medical University Affiliated Beijing Anzhen Hospital