Papakonstantinou Nikolaos A, Baikoussis Nikolaos G, Goudevenos John, Papadopoulos George, Apostolakis Efstratios
Department of Cardiothoracic Surgery, University Hospital of Ioannina, School of Medicine, 45500 Ioannina; Department of Cardiothoracic Surgery, General Hospital of Athens "Evangelismos'', Athens, Greece.
Department of Cardiothoracic Surgery, General Hospital of Athens "Evangelismos'', Athens, Greece.
Ann Card Anaesth. 2016 Jul-Sep;19(3):481-8. doi: 10.4103/0971-9784.185537.
Coronary artery bypass grafting surgery effectively relieves signs and symptoms of myocardial ischemia. The left internal thoracic artery (LITA) graft is the gold standard having 90-95% patency rate at 10 years, whereas only 50% of saphenous vein (SV) grafts are patent at 10 years. However, there is a novel "no touch" technique in order to harvest an SV complete with its cushion of surrounding tissue, thus maintaining its endothelium-intact. Significantly superior short- and long-term graft patency rates comparable to LITA grafts can be achieved. Consequently, the SV may be revived as an important conduit in coronary artery bypass surgery.
冠状动脉搭桥手术能有效缓解心肌缺血的体征和症状。左乳内动脉(LITA)移植物是金标准,10年通畅率为90% - 95%,而大隐静脉(SV)移植物10年通畅率仅为50%。然而,有一种新的“无接触”技术,用于获取带有周围组织缓冲层的完整大隐静脉,从而保持其内皮完整。可以实现与LITA移植物相当的显著更优的短期和长期移植物通畅率。因此,大隐静脉可能会再度成为冠状动脉搭桥手术中的重要管道。