Cardio-Thoracic and Vascular Department, Trieste University Hospital, Trieste, Italy.
Department of Radiology, Trieste University Hospital, Trieste, Italy.
Interact Cardiovasc Thorac Surg. 2020 Aug 1;31(2):179-181. doi: 10.1093/icvts/ivaa087.
Despite good outcomes, the use of the radial artery as a coronary graft is not widespread. Concerns regarding its low versatility and the risk of hand ischaemia, as well as the lack of reliable information regarding the best storage solution of the graft, and regarding the treatment for preventing spasms have limited its use. In this manuscript, the (numerous) benefits and (few) drawbacks of the proximal inflow for the radial artery from the in situ right internal thoracic artery proximal stump are discussed. Outcomes are reported from a limited series of patients undergoing totally arterial myocardial revascularization using this composite graft and both internal thoracic arteries.
尽管桡动脉作为冠状动脉移植物的效果良好，但它的应用并不广泛。人们对其低通用性和手部缺血的风险，以及对移植物最佳储存解决方案的可靠信息的缺乏，以及对预防痉挛的治疗方法的缺乏，限制了它的使用。在本文中，讨论了从原位右内乳动脉近端残端的近端流入对桡动脉的（众多）益处和（少数）缺点。通过使用这种复合移植物和两条内乳动脉进行全动脉心肌血运重建的有限系列患者的结果得到了报告。
