用于腹股沟下动脉重建的原位大隐静脉旁路手术结果：两种瓣膜刀的比较

The results of in situ saphenous vein bypass for infrainguinal arterial reconstruction: Comparison between two types of valvulotomes.

作者信息

Izumi Yuichi, Magishi Katsuaki, Shimizu Noriyuki

机构信息

Department of Cardiovascular Surgery, Nayoro City General Hospital, Nayoro, Hokkaido, Japan.

出版信息

Int J Angiol. 2010 Winter;19(4):e126-8. doi: 10.1055/s-0031-1278385.

DOI:10.1055/s-0031-1278385

PMID:22479142

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3285947/

Abstract

PURPOSE

To evaluate the authors' experiences with in situ saphenous vein bypasses that were performed using two types of valvulotomes and to respectively compare their efficacy on the basis of the operative outcomes.

METHODS

Between June 1993 and December 2008, 103 constructive in situ saphenous vein bypasses were performed, of which 53 were performed between 1993 and 2000 using an Insitucat valvulotome (B Braun Melsungen AG, Germany), and 50 were performed between 2000 and 2008 using a LeMaitre valvulotome (LeMaitre Vascular Inc, USA).

RESULTS

There were no statistical differences with regard to age, sex and bypass procedures between the two groups. Critical limb ischemia (P=0.021) and diabetes (P=0.005) were more frequent in the LeMaitre group than the Insitucat group. Intraoperative graft revisions (P=0.079) and graft spasms (P=0.638) were less frequent in the LeMaitre group. Graft failures in the perioperative period or within the first year were less frequent in the LeMaitre group. The five-year cumulative primary patency rates were 63.2% and 59.8% in the LeMaitre and Insitucat groups, respectively (χ(2)=0.390, not significant). The five-year cumulative secondary patency rates were 91.9% and 81.7% in the LeMaitre and Insitucat groups, respectively (χ(2)=2.690, not significant).

CONCLUSIONS

The results suggested that there were no significant differences in the outcome and adverse effects between the two types of valvulotomes for in situ saphenous vein bypass.

摘要

目的

评估作者使用两种瓣膜刀进行原位大隐静脉旁路移植术的经验，并根据手术结果分别比较其疗效。

方法

1993年6月至2008年12月期间，进行了103例建设性原位大隐静脉旁路移植术，其中53例在1993年至2000年期间使用Insitucat瓣膜刀（德国贝朗医疗股份公司）进行，50例在2000年至2008年期间使用LeMaitre瓣膜刀（美国LeMaitre血管公司）进行。

结果

两组在年龄、性别和旁路手术方面无统计学差异。LeMaitre组的严重肢体缺血（P = 0.021）和糖尿病（P = 0.005）比Insitucat组更常见。LeMaitre组术中移植物修复（P = 0.079）和移植物痉挛（P = 0.638）较少见。LeMaitre组围手术期或第一年内的移植物失败较少见。LeMaitre组和Insitucat组的五年累积原发性通畅率分别为63.2%和59.8%（χ² = 0.390，无统计学意义）。LeMaitre组和Insitucat组的五年累积继发性通畅率分别为91.9%和81.7%（χ² = 2.690，无统计学意义）。