Mansourati J, Blanc J J, Salaun J P, Forneiro I, Genet L, Boschat J, Gilard M, Etienne Y, Penther P, Deredec D
Service de Cardiologie Himbert, CHU Morvan, Brest.
Ann Cardiol Angeiol (Paris). 1990 Feb;39(2):73-7.
Between February 1983 and June 1987, 140 patients underwent surgery for anterior interventricular revascularization using the left internal mammary artery (the right had been used once). Operative mortality was 3.5%, but this value decreased to 2.2% when the familiarization period for the technique was taken into account. 112 patients were monitored for at least 11 months, and 85 of these accepted an angiographic examination at the end of the follow-up period. No graft was occluded. Only two were thin due to an inadequate stenosis of the anterior interventricular septum. One graft was 90% stenosed at its anastomosis. Moderate competitive flux was noted in five cases. These results are in agreement with published findings, and comparison with literature reports confirms that the internal mammary artery is superior to the saphenous vein as graft material.
1983年2月至1987年6月期间，140例患者接受了使用左乳内动脉进行前室间血管重建的手术（右乳内动脉仅使用过1次）。手术死亡率为3.5%，但如果考虑到该技术的熟练期，这一数值降至2.2%。112例患者接受了至少11个月的监测，其中85例在随访期末接受了血管造影检查。没有移植血管闭塞。仅2例因前室间隔狭窄不充分而显影淡薄。1例移植血管在吻合处有90%的狭窄。5例观察到有中度的竞争性血流。这些结果与已发表的研究结果一致，与文献报道进行比较证实，乳内动脉作为移植材料优于大隐静脉。
