Bigelow J C, Bartley T D, Page U S, Krause A H
Ann Thorac Surg. 1976 Dec;22(6):507-14. doi: 10.1016/s0003-4975(10)64465-7.
In 1972 we reported myocardial revascularization of 130 patients using multiple sequential aortocoronary anastomoses to a single saphenous vein ]1]. Of the 122 survivors described in that report, 121 (99%) have been followed an additional 3 years. Twelve deaths occurred during the interval. The 110 currently followed patients represent 290 anastomoses; 54 have been studied angiographically since operation. Angiographic patency at 3 years in the studied group (18) was 70%. These figures exceed our follow-up data for 135 patients revascularized during the same period using individual vein grafts. Comparison of life table survival curves demonstrates this result. We believe the improved patency and decreased operating time that have resulted from employing this technique have outweighed the likelihood of a proximal stenosis causing closure of the whole graft system. We continue to use this technique in combination with internal mammary artery grafts in the management of multiple-vessel coronary disease. Good early results using this technique have been reported by other authors [2, 3, 5].
1972年，我们报告了130例患者采用多条连续主动脉冠状动脉吻合至单条大隐静脉的心肌血运重建术[1]。在该报告中描述的122名幸存者中，有121名（99%）又接受了3年的随访。在此期间有12人死亡。目前接受随访的110名患者共有290处吻合口；自手术以来，其中54处已接受血管造影检查。研究组（18例）术后3年的血管造影通畅率为70%。这些数据超过了我们同期对135例采用单根静脉移植物进行血运重建患者的随访数据。生存曲线的生命表比较证实了这一结果。我们认为，采用该技术带来的通畅率提高和手术时间缩短，超过了近端狭窄导致整个移植物系统闭塞的可能性。在多支冠状动脉疾病的治疗中，我们继续将该技术与乳内动脉移植物联合使用。其他作者[2,3,5]也报告了使用该技术取得的良好早期结果。
