Thompson R W, Mannick J A, Whittemore A D
Ann Surg. 1987 Jun;205(6):747-51. doi: 10.1097/00000658-198706000-00018.
Improved instrumentation for venous valve extirpation has allowed rapid development of the in situ technique for femoral-tibial arterial reconstruction. Extension of this valvulotomy technique permits the expeditious construction of branched, nonreversed saphenous vein grafts for multiple vessel revascularization, and allows use of veins otherwise unsuitable in length for certain arterial bypass procedures. The nonreversed vein graft also appears to offer advantages over the reversed graft with regard to the size of the proximal and distal anastomoses when used as an aortorenal or iliorenal graft as well as in other anatomic locations. Over the past 30 months these techniques were used to implant 10 vein grafts at diverse sites in nine patients with initial success in all instances and one late graft failure.
用于静脉瓣膜切除的改良器械使得股胫动脉重建的原位技术得以迅速发展。这种瓣膜切开术技术的扩展允许快速构建用于多支血管血运重建的分支、非反转大隐静脉移植物，并允许使用长度原本不适合某些动脉搭桥手术的静脉。当用作主动脉肾或髂肾移植物以及在其他解剖位置时，非反转静脉移植物在近端和远端吻合口大小方面似乎也比反转移植物具有优势。在过去30个月中，这些技术被用于9例患者的不同部位植入10个静脉移植物，所有病例均初步成功，1例移植物后期失败。
