Athanasiou Thanos, Casula Roberto, Charitou Alexandros, Kavia Sanjay, Skipworth James, Stanbridge Rex De L, Glenville Brian
Department of Cardiothoracic Surgery, St. Mary's Hospital, London, UK.
Heart Surg Forum. 2003;6(4):E68-9.
We report a technique that allows total arterial myocardial revascularization of the left ventricle by the use of the radial artery as a composite graft. The technique includes anastomosis of the distal end of the radial artery to its more proximal part after division of the conduit from the brachial artery. In this way we create an adjustable loop that can be divided and used as a Y-fashioned conduit according to the needs of revascularization. The main advantages of this technique are that it saves time and facilitates complex arterial revascularization of the lateral and posterior parts of the left ventricle, especially during off-pump revascularization. At least 2 coronary targets can be revascularized with the radial artery in a flexible and safe manner. The radial artery also has important potential opportunities for multiple grafting through minimal-access incisions or endoscopic coronary artery bypass grafting when a critical Y anastomosis is needed inside the chest.
我们报告了一种技术，该技术通过使用桡动脉作为复合移植物来实现左心室的完全动脉化心肌血运重建。该技术包括在将桡动脉与肱动脉分离后，将桡动脉远端与其更近端部分进行吻合。通过这种方式，我们创建了一个可调节的环，该环可根据血运重建的需要进行分割并用作Y形管道。该技术的主要优点是节省时间，并便于对左心室外侧和后侧进行复杂的动脉血运重建，尤其是在非体外循环血运重建期间。桡动脉至少可以灵活、安全地对2个冠状动脉靶点进行血运重建。当胸部内需要关键的Y形吻合时，桡动脉在通过微创切口或内镜冠状动脉旁路移植术进行多次移植方面也具有重要的潜在机会。
