Yasuura K, Matsuura A, Maseki T, Sawazaki M, Takagi Y, Abe T, Seki A, Ichihara T, Hoshino M, Asakura T
Department of Thoracic Surgery, Nagoya University School of Medicine.
Kyobu Geka. 1992 Jul;45(8 Suppl):725-7.
The arterial graft has proved to be superior to the saphenous vein graft for coronary bypass grafting (CABG), because of its excellent long-term patency. However, there mains controversial on the choice of the arterial grafts. Six hundreds and twenty seven patients who had CABG using both arterial grafts and saphenous vein grafts, operated upon over 11-years period between 1980 and 1991, have been analysed. Some disadvantages and complications associated with the use of arterial grafts were demonstrated in our series. We discussed, the flow capacity, myocardial protection and postoperative complications in using arterial grafts for CABG.
由于动脉移植物具有出色的长期通畅性,已证明其在冠状动脉旁路移植术(CABG)中优于大隐静脉移植物。然而,动脉移植物的选择仍存在争议。对1980年至1991年期间11年多时间里接受了同时使用动脉移植物和大隐静脉移植物的CABG手术的627例患者进行了分析。我们的系列研究显示了使用动脉移植物存在的一些缺点和并发症。我们讨论了在CABG中使用动脉移植物时的流量能力、心肌保护和术后并发症。