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对于左胸廓内动脉至左前降支动脉搭桥术后需再次行全动脉血管重建的患者，采用右胸廓内动脉与桡动脉延长术。

Elongation of right internal thoracic artery with radial artery for redo total arterial revascularization in patients with open left internal thoracic artery to left anterial descending artery graft.

作者信息

Zhang Ruoyu, Zardo Patrick, Haverich Axel, Ismail Issam

机构信息

Division of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.

出版信息

Eur J Cardiothorac Surg. 2009 Jul;36(1):206-7. doi: 10.1016/j.ejcts.2009.03.008. Epub 2009 Apr 16.

DOI:10.1016/j.ejcts.2009.03.008
PMID:19375348
Abstract

Total arterial revascularization in patients with three-vessel disease cannot usually be achieved by bilateral internal thoracic artery grafts alone due to limited length. In this report we describe a technique by which the right internal thoracic artery can be elongated with radial artery for sequential grafting in redo total arterial revascularization procedure.

摘要

对于三支血管病变的患者，由于长度有限，通常仅靠双侧胸廓内动脉搭桥无法实现完全动脉化血运重建。在本报告中，我们描述了一种技术，通过该技术可利用桡动脉延长右侧胸廓内动脉，以便在再次进行完全动脉化血运重建手术时进行序贯搭桥。

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1
Elongation of right internal thoracic artery with radial artery for redo total arterial revascularization in patients with open left internal thoracic artery to left anterial descending artery graft.对于左胸廓内动脉至左前降支动脉搭桥术后需再次行全动脉血管重建的患者，采用右胸廓内动脉与桡动脉延长术。
Eur J Cardiothorac Surg. 2009 Jul;36(1):206-7. doi: 10.1016/j.ejcts.2009.03.008. Epub 2009 Apr 16.
2
Left internal thoracic artery-radial artery composite grafts as the technique of choice for myocardial revascularization in elderly patients: a prospective randomized evaluation.左胸廓内动脉-桡动脉复合移植物作为老年患者心肌血运重建的首选技术：一项前瞻性随机评估
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[Early and mid-term results of all arterial graft coronary artery bypass grafting using bilateral internal thoracic and radial arterial conduits].[使用双侧胸廓内动脉和桡动脉进行全动脉化冠状动脉旁路移植术的早期和中期结果]
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Comparison of radial artery patency according to proximal anastomosis site: direct aorta to radial artery anastomosis is superior to radial artery composite grafting.根据近端吻合部位比较桡动脉通畅情况：直接主动脉至桡动脉吻合优于桡动脉复合移植。
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The radial artery in reoperative coronary bypass surgery:再次冠状动脉搭桥手术中的桡动脉：
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[Redo coronary artery bypass grafting using the patent left internal thoracic artery graft as an in flow with composite internal thoracic artery Y grafting; report of a case].[采用通畅的左胸廓内动脉移植物作为流入道行复合胸廓内动脉Y形移植物再次冠状动脉旁路移植术；1例报告]
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[Redo coronary artery bypass operation under beating heart via the left thoracotomy reusing patent grafts].[经左胸切口在心脏跳动下再次冠状动脉搭桥手术并复用通畅的移植物]
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[Off-pump coronary artery bypass using bilateral in situ internal thoracic artery grafts for left coronary artery system: a case report].[非体外循环冠状动脉搭桥术采用双侧原位胸廓内动脉移植治疗左冠状动脉系统：一例报告]
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[MIDCAB for redo patients using the LITA-RA composite graft].[使用左乳内动脉-桡动脉复合移植物对再次手术患者进行微创冠状动脉搭桥术]
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[Failure of coronary artery bypass with the internal thoracic artery. Does extended use of the internal thoracic artery affect the patency of the coronary artery?].[冠状动脉搭桥术中胸廓内动脉的失败。胸廓内动脉的广泛使用是否会影响冠状动脉的通畅？]
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引用本文的文献

1
Extension of the right internal thoracic artery with the radial artery in extensive re-do coronary artery bypass grafting.在广泛再次冠状动脉旁路移植术中使用桡动脉延长右胸廓内动脉。
J Cardiothorac Surg. 2013 Jul 12;8:173. doi: 10.1186/1749-8090-8-173.