Chevalier J M, Enon B, Pillet J
Nouv Presse Med. 1980 Jan 5;9(1):39-40.
Destruction of the valves of the great saphenous vein is one of the essential steps in femoro-popliteal bypass in situ. The authors suggest the use of bougies with a tip in the form a shell, the base of which is adorned with 4 rounded and smoothed teeth. After destruction of the great saphenous and ligation of the collaterals, arterial filling of the vein after superior anastomosis and the retrograde insertion of strippers may be used the collapse the valves opened by the blood flow. Amongst 40 bypasses performed using this technique, 38 were without problem.
大隐静脉瓣膜破坏是原位股腘动脉搭桥术中的关键步骤之一。作者建议使用头部呈壳状的探条，其底部有4个圆形且光滑的齿。在大隐静脉破坏及侧支结扎后，可在近端吻合后进行静脉的动脉化灌注，并逆行插入剥脱器，以使因血流而开放的瓣膜塌陷。在采用该技术进行的40例搭桥手术中，38例无问题。
