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隐静脉获取的新型非接触技术:能提供高移植通畅率吗?

Novel no touch technique of saphenous vein harvesting: Is great graft patency rate provided?

作者信息

Papakonstantinou Nikolaos A, Baikoussis Nikolaos G, Goudevenos John, Papadopoulos George, Apostolakis Efstratios

机构信息

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.

出版信息

Ann Card Anaesth. 2016 Jul-Sep;19(3):481-8. doi: 10.4103/0971-9784.185537.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feca/4971977/1e253d60173e/ACA-19-481-g001.jpg

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