Zingerman L S, Sarkisian A S
Kardiologiia. 1976 Sep;16(9):21-30.
On the basis of an analysis of about 1000 coronary angiogrammes it is established that collaterals develop in stenosis of the coronary arteries in 52.3% of the patients surviving myocardial infarction, and in 20% of those free of myocardial infarction. Coronary angiogrammes of 100 patients with coronary collaterals were examined. Twenty different ways of collateral circulation were revealed. Certain regularities were noted in the development of collaterals depending on the lesions of different coronaries or combined lesions of several arteries. Intersystemic collaterals are most typical for the occlusions of the anterior interventricular branch. In cases of occlusions of the right coronary artery either intersystemic, or intrasystemic collaterals develop, depending on the localization of the occlusion. A study of the collaterals in cases of multiple coronary lesions has demonstrated that under such conditions a complicated system of anastomoses develops, and the flow in them is multidirectional.
基于对约1000份冠状动脉血管造影的分析，已确定在心肌梗死存活患者中，52.3%的患者冠状动脉狭窄时会形成侧支循环，而在无心肌梗死的患者中这一比例为20%。对100例有冠状动脉侧支循环的患者的冠状动脉血管造影进行了检查。发现了20种不同的侧支循环途径。根据不同冠状动脉的病变或几条动脉的联合病变，在侧支循环的形成中发现了某些规律。室间支闭塞时，系统间侧支循环最为典型。在右冠状动脉闭塞的情况下，根据闭塞的部位，会形成系统间或系统内侧支循环。对多支冠状动脉病变病例的侧支循环研究表明，在这种情况下会形成复杂的吻合系统，且其中的血流是多向的。
