VEST III试验——我们应该支持静脉移植物吗？
VEST III trial - should we support the vein grafts?
作者信息
Narayan Pradeep
机构信息
Department of Cardiac Surgery, Rabindranath Tagore International Institute of Cardiac Sciences, Narayana Health, 124, EM Bypass, Mukundapur Kolkata, 700099 India.
出版信息
Indian J Thorac Cardiovasc Surg. 2023 May;39(3):319-321. doi: 10.1007/s12055-023-01492-w. Epub 2023 Feb 21.
Abstract
VEST III trial is the largest randomized controlled trial to date to evaluate the role of external stents on late graft failure. In this study, an external stent was applied to vein grafts and compared with another unsupported vein graft in the same patient. The groups were compared for overall graft patency and intimal hyperplasia. Patent vein grafts were further assessed and graded based on the Fitzgibbon patency scale. This review discusses the strengths and weaknesses of the trial.
摘要
VEST III试验是迄今为止评估外部支架对晚期移植物失败作用的最大规模随机对照试验。在本研究中，对静脉移植物应用外部支架，并与同一患者的另一未支撑静脉移植物进行比较。比较两组的总体移植物通畅率和内膜增生情况。根据菲茨吉本通畅量表对通畅的静脉移植物进一步评估和分级。本综述讨论了该试验的优缺点。
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