Moneta G L, Porter J M
Division of Vascular Surgery, Oregon Health Sciences University, Portland, 97201, USA.
J Long Term Eff Med Implants. 1995;5(1):47-67.
A large proportion of general vascular surgery involves diagnosis and operative treatment of disorders of the arterial system. To a great extent, advances in the operative care of patients with arterial disease have been dependent on the development of clinically satisfactory arterial substitutes. Currently, based on extensive basic research and clinical experience, prosthetic grafts are preferred as substitutes for larger caliber arteries, while autogenous veins provide the best results as substitutes for smaller, lower flow vessels in the extremities. In this review, we examine the arterial substitutes that have been and are currently important in the clinical practice of general vascular surgery. From this material, it should be apparent to the reader that the perfect arterial substitute does not exist and all, when implanted in humans, are associated with well-recognized short and long term complications.
大部分普通血管外科手术涉及动脉系统疾病的诊断和手术治疗。在很大程度上，动脉疾病患者手术护理的进展依赖于临床上令人满意的动脉替代物的发展。目前，基于广泛的基础研究和临床经验，人工血管被优先用作较大口径动脉的替代物，而自体静脉作为肢体中较小、低流量血管的替代物效果最佳。在本综述中，我们研究了在普通血管外科临床实践中过去和现在都很重要的动脉替代物。从这些资料中，读者应该清楚地认识到，完美的动脉替代物并不存在，并且所有替代物植入人体后都伴有公认的短期和长期并发症。
