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冠状动脉远端吻合的双蛇头技术

Double cobra head technique of distal coronary anastomosis.

作者信息

Palanisamy Vijayanand, Ravikumar Mithun Sundararaaja, Shree Shilpa, Sathiaraj Antony Leander, Mohanraj Anbarasu, Kurian Valikapthalil Mathew

机构信息

Department of Cardiac Surgery-Institute of Cardiovascular Diseases, The Madras Medical Mission, 4A, Dr. J.J. Nagar, Mogappair, Chennai, 600037 Tamil Nadu India.

出版信息

Indian J Thorac Cardiovasc Surg. 2022 Mar;38(2):235-237. doi: 10.1007/s12055-021-01247-5. Epub 2021 Sep 28.

DOI:10.1007/s12055-021-01247-5
PMID:35221567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8857362/
Abstract

In 1967, Dr. René Favaloro introduced the use of reversed greater saphenous vein graft for coronary artery bypass grafting, since then a lot of efforts were made to improve the venous graft patency rate. We introduce a novel double cobra head technique of distal coronary anastomosis for better distal runoff. We expect our technique will help in difficult situations such as limited conduit availability and target vessel with bifurcation lesions. Refining our surgical techniques is essential to keep ourselves well equipped to compete with the rapidly evolving stent culture.

摘要

1967年,勒内·法瓦洛罗医生引入了大隐静脉逆行移植用于冠状动脉旁路移植术,从那时起人们做出了很多努力来提高静脉移植血管的通畅率。我们介绍一种用于更好的远端血流的新型冠状动脉远端吻合双眼镜蛇头技术。我们期望我们的技术能在诸如移植血管可用性有限和靶血管有分叉病变等困难情况下发挥作用。完善我们的手术技术对于使我们自己做好充分准备以应对快速发展的支架技术至关重要。

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1
Double cobra head technique of distal coronary anastomosis.冠状动脉远端吻合的双蛇头技术
Indian J Thorac Cardiovasc Surg. 2022 Mar;38(2):235-237. doi: 10.1007/s12055-021-01247-5. Epub 2021 Sep 28.
2
Long-term graft patency after coronary artery bypass grafting: Effects of surgical technique.冠状动脉旁路移植术后的长期移植血管通畅情况:手术技术的影响
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Scoring system for predicting saphenous vein graft patency in coronary artery bypass grafting.冠状动脉旁路移植术中预测大隐静脉移植血管通畅性的评分系统。
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No-touch vein grafts and the destiny of venous revascularization in coronary artery bypass grafting-a 25 anniversary perspective.非接触式静脉移植物与冠状动脉旁路移植术中静脉血管重建的命运——25周年展望
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本文引用的文献

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Possibility of atherosclerosis in an arterial bifurcation model.动脉分叉模型中的动脉粥样硬化可能性。
Bioimpacts. 2011;1(4):225-8. doi: 10.5681/bi.2011.032. Epub 2011 Dec 13.
2
The impact of sequential versus single anastomoses on flow characteristics and mid-term patency of saphenous vein grafts in coronary bypass grafting.序贯吻合与单吻合对冠状动脉旁路移植术中大隐静脉移植物血流特性及中期通畅率的影响。
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Intimal hyperplasia and wall shear in arterial bypass graft distal anastomoses: an in vivo model study.动脉搭桥移植远端吻合口内膜增生与壁面切应力:一项体内模型研究
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