Shandall A A, Leather R P, Corson J D, Kupinski A M, Shah D M
Am J Surg. 1987 Aug;154(2):240-4. doi: 10.1016/0002-9610(87)90190-5.
In the absence of a usable greater saphenous vein, the short saphenous vein has been relatively ignored for use as an arterial bypass conduit. In 36 patients, duplex ultrasound scanning was used for preoperative assessment of the short saphenous vein. The internal diameter of the vein ranged from 2.8 to 4.2 mm. The short saphenous vein was harvested for a free vein graft in 31 patients. In the remaining five patients, the short saphenous vein was used in situ for popliteal-to-distal artery bypass. In four patients, the distal anastomosis was performed to the distal anterior tibial artery and in one patient, to the distal posterior tibial artery. Valves were excised with valvulotomes and deep fistulas were easily ligated. A medial incision for vein exposure was the preferred approach. We suggest that the short saphenous vein be considered more often for use as an arterial bypass conduit when the greater saphenous vein is not available, before submitting to nonautogenous bypass or primary amputation.
在没有可用的大隐静脉时，小隐静脉作为动脉旁路移植管道相对被忽视。对36例患者使用双功超声扫描对小隐静脉进行术前评估。静脉内径范围为2.8至4.2毫米。31例患者采用小隐静脉游离移植。其余5例患者，小隐静脉原位用于腘动脉至远端动脉旁路移植。4例患者远端吻合至胫前动脉远端，1例患者吻合至胫后动脉远端。用瓣膜刀切除瓣膜，深瘘管易于结扎。采用内侧切口暴露静脉是首选方法。我们建议，在没有大隐静脉可用时，在考虑采用非自体旁路移植或一期截肢之前，应更频繁地考虑使用小隐静脉作为动脉旁路移植管道。
