Ishitobi K, Moteki K, Nara S, Akiyama Y, Kodera K, Kaneda S
Department of Surgery and the Department of Radiology, Saiseikai Central Hospital, Tokyo, Japan.
J Vasc Surg. 2001 Apr;33(4):797-801. doi: 10.1067/mva.2001.112807.
Our goal was to evaluate the long-term results of vein bypass grafts for axillary artery occlusion, specifically those placed extra-anatomically to prevent arterial injury in pitchers.
With the greater saphenous veins used as the selected conduit, arterial bypass grafts were routed anterior to the pectoralis minor muscle in four baseball pitchers who had occlusion of the axillary artery. We performed a follow-up in excess of 10 years with evaluations of the bypass grafts by ultrasonic duplex scan and magnetic resonance angiography.
All four pitchers treated in this manner returned to the game and played for several seasons without a recurrence of the arterial injury. Long-term evaluation of the bypass grafts did not reveal any structural or functional disorder.
Axillary artery occlusion in an athlete can be effectively treated with a vein bypass graft placed extra-anatomically, anterior to the pectoralis minor muscle. The greater saphenous vein should be considered the conduit of choice.
我们的目标是评估腋动脉闭塞的静脉搭桥术的长期效果，特别是那些非解剖位置放置以防止投手动脉损伤的搭桥术。
选取4名腋动脉闭塞的棒球投手，采用大隐静脉作为选定的管道，将动脉搭桥术置于胸小肌前方。我们进行了超过10年的随访，通过超声双功扫描和磁共振血管造影对搭桥术进行评估。
以这种方式治疗的所有4名投手都重返赛场，并参加了几个赛季的比赛，动脉损伤未复发。对搭桥术的长期评估未发现任何结构或功能紊乱。
运动员的腋动脉闭塞可以通过在胸小肌前方非解剖位置放置静脉搭桥术有效治疗。应考虑将大隐静脉作为首选管道。
