Taylor L M, Edwards J M, Brant B, Phinney E S, Porter J M
Am J Surg. 1987 May;153(5):505-10. doi: 10.1016/0002-9610(87)90803-8.
This report has presented the results of 329 reversed vein bypasses performed for lower extremity ischemia over a 6 3/4 year period. One hundred eighty-nine bypasses were formed from intact ipsilateral greater saphenous veins of adequate size and length. One hundred forty bypasses were formed in patients in whom the ipsilateral greater saphenous vein was absent or of inadequate size or length to complete the bypass. The grafts in these patients were accomplished using a variety of techniques including distal graft origin, use of arm veins and lesser saphenous veins, and use of vein splicing. The patency rates of these grafts were equivalent to those achieved using adequate intact ipsilateral greater saphenous vein. In view of these results, we conclude that the absence of a greater saphenous vein does not preclude successful autogenous lower extremity vein bypass and that prosthetic bypass is rarely justified.
本报告展示了在6又3/4年期间为下肢缺血进行的329例静脉旁路移植术的结果。189例旁路移植使用了大小和长度合适的同侧大隐静脉。140例旁路移植的患者，其同侧大隐静脉缺失、大小或长度不足以完成旁路移植。这些患者的移植采用了多种技术，包括远端移植起点、使用上肢静脉和小隐静脉以及静脉拼接。这些移植血管的通畅率与使用合适的同侧完整大隐静脉所达到的通畅率相当。鉴于这些结果，我们得出结论，大隐静脉缺失并不妨碍自体下肢静脉旁路移植术的成功，且很少有理由进行人工血管旁路移植。
