Panetta T, Sottiurai V S, Batson R C
Department of Surgery, LSU Medical Center, New Orleans 70112.
J Trauma. 1988 Jul;28(7):1065-70. doi: 10.1097/00005373-198807000-00025.
Nonreversed translocated saphenous vein (NTSV) bypasses were performed for 17 acute arterial injuries. The technique involved controlling hemorrhage, inserting indwelling shunts, perfusing the harvested saphenous vein with papaverine solution, placing the vein in a nonreversed orientation over the shunt, performing valvulotomy under arterial pressure with a modified Mills' valvulotome and completing the distal anastomosis just before removing the shunt. Followup ranged from 2 to 36 months. There were no graft occlusions. The advantages of using NTSV graft for reconstruction of arterial injuries include autogenous reconstruction, reduced size discrepancy between graft and artery at both the proximal and distal anastomosis, improved hemodynamics when spasm compromises distal runoff, and increased vein utilization. NTSV provides increased versatility with both large and small vessel trauma and may improve patency rates.
对17例急性动脉损伤患者进行了非翻转移植大隐静脉（NTSV）旁路移植术。该技术包括控制出血、插入留置分流管、用罂粟碱溶液灌注采集的大隐静脉、将静脉以非翻转方向置于分流管上、使用改良的米尔斯瓣膜刀在动脉压力下进行瓣膜切开术以及在移除分流管之前完成远端吻合。随访时间为2至36个月。没有移植物闭塞情况。使用NTSV移植物重建动脉损伤的优点包括自体重建、在近端和远端吻合处移植物与动脉之间的尺寸差异减小、当痉挛影响远端血流时改善血流动力学以及提高静脉利用率。NTSV在处理大血管和小血管创伤时具有更高的通用性，可能会提高通畅率。
