Ozal E, Oz B S, Kucukarslan N, Gunay C, Yilmaz A T, Tatar H
Department of Cardiovascular Surgery, Gulhane Military Medical Academy, 06018 Etlik, Ankara, Turkey.
Am J Surg. 2001 Jan;181(1):28-9. doi: 10.1016/s0002-9610(00)00531-6.
Late thrombosis of prosthetic graft material is rarely managed successfully by simple thrombectomy or thrombolytic therapy. Replacement with a new graft may be necessary. Although several techniques have been described, mobilizing and removing an old thrombosed prosthetic graft is usually extremely difficult because of a firm attachment to its tunnel. This attempt is more difficult especially for ringed grafts. We describe a simple technique of using an internal varicose vein stripper for the removal of such a late thrombosed axillofemoral spiral polytetrafluoroethylene graft and positioning a new graft into the old tunnel.
人工血管材料的晚期血栓形成很少能通过单纯的血栓切除术或溶栓治疗成功处理。可能需要更换新的人工血管。尽管已经描述了几种技术，但由于与隧道紧密相连，动员和移除陈旧的血栓形成的人工血管通常极其困难。对于带环人工血管来说，这种尝试尤其困难。我们描述了一种简单的技术，即使用静脉内曲张静脉剥脱器来移除这种晚期血栓形成的腋股螺旋聚四氟乙烯人工血管，并将新的人工血管置入旧的隧道中。
