Hauenstein K H, Blum U, Schlosser V, Spillner G, Wenz W
Abteilung Röntgendiagnostik, Universität Freiburg.
Rofo. 1988 May;148(5):556-9. doi: 10.1055/s-2008-1048247.
Early postoperative angiographic control is important for prognosis and medical therapy for patients undergoing coronary bypass surgery. Grafts from the internal mammary artery had been shown to be superior to venous bypasses for anastomoses to the left anterior descending coronary artery. Thus, the need for angiographic demonstration of graft patency and function is increasing. We report on the angiographic analyses of 73 patients after left internal mammary artery (LIMA) bypass surgery by filling of the graft via retrograde injection of contrast medium into the left brachial artery. In all cases the bypass, anastomosis and downstream vessel were clearly visualised. No complications or side effects were observed.
术后早期血管造影检查对于接受冠状动脉搭桥手术患者的预后和药物治疗至关重要。对于与左前降支冠状动脉进行吻合而言，来自乳内动脉的移植物已被证明优于静脉搭桥。因此，对移植物通畅性和功能进行血管造影显示的需求日益增加。我们报告了73例接受左乳内动脉（LIMA）搭桥手术后患者的血管造影分析，通过向左肱动脉逆行注射造影剂来充盈移植物。在所有病例中，搭桥、吻合口及下游血管均清晰可见。未观察到并发症或副作用。
