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在 VEST 试验中:我们是否忽略了对外支架引起的病变的处理?

In the VEST trial: are we missed to address the pathology incurred by the external stent?

机构信息

Institute of Cardiovascular Diseases, The Madras Medical Mission, 4A, Mogappair, Chennai, Tamilnadu, 600037, India.

出版信息

J Cardiothorac Surg. 2021 Sep 8;16(1):257. doi: 10.1186/s13019-021-01640-6.

Abstract

In the VEST IV trial, the author concluded that external stenting of saphenous vein graft mitigates its remodeling and also significantly reduces the diffuse intimal hyperplasia and development of lumen irregularities at 4.5 years after coronary artery bypass grafting surgery. We also have valuable a suggestion in addition to external stenting that might nullify the pathology caused by the stent and might enhances graft patency.

摘要

在 VEST IV 试验中,作者得出结论,静脉移植物外部支架减轻了其重塑,并且在冠状动脉旁路移植手术后 4.5 年内也显著减少了弥漫性内膜增生和管腔不规则的发展。除了外部支架之外,我们还有一个有价值的建议,它可能消除支架引起的病理学,并可能提高移植物的通畅性。

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本文引用的文献

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Saphenous vein graft valves: "the bad guys".大隐静脉移植瓣膜:“罪魁祸首” 。
Ann Thorac Surg. 1989 Nov;48(5):613-4. doi: 10.1016/0003-4975(89)90772-8.

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