Shah D M, Buchbinder D
Arch Surg. 1981 Mar;116(3):356-8. doi: 10.1001/archsurg.1981.01380150074020.
Methods for producing valvular incompetence in the in situ vein arterial bypass have been either traumatic or tedious. We modified the technique of atraumatically incising the venous valves, rendering them incompetent. Using a specially designed long scissors, the valves are excised by introducing the scissors into the proximal end of the vein or, if necessary, one major branch. This requires minimal manipulation and exposure of the vein, almost no disturbance of the venous bed, and makes the operation less tedious.
在原位静脉动脉搭桥术中制造瓣膜功能不全的方法,要么具有创伤性,要么很繁琐。我们改进了无创切开静脉瓣膜使其功能不全的技术。使用一种特别设计的长剪刀,将剪刀插入静脉近端或必要时插入一个主要分支来切除瓣膜。这需要对静脉进行最少的操作和暴露,几乎不干扰静脉床,并且使手术不那么繁琐。