Saitoh S, Nakatsuchi Y
Department of Orthopaedics, Shinshu University School of Medicine, Matsumoto City, Japan.
Plast Reconstr Surg. 1995 Nov;96(6):1401-8. doi: 10.1097/00006534-199511000-00026.
Fibrin glue was applied at the anastomotic site of the vein graft that was placed in rat femoral artery defects by the telescoping anastomotic technique at both proximal and distal anastomoses. All 35 vein grafts thus placed were patent, yielding a statistically higher patency rate than those placed in the same femoral artery by the same telescoping anastomotic technique but without fibrin glue. The telescoping anastomotic technique assisted by fibrin glue appears to give as reliable a patency rate as the conventional method even if it is used twice, both at the proximal and distal anastomoses, in autogenous vein grafting for arterial defects. Deformities of the inserted vessel should be minimized for patency by some means such as an application of fibrin glue so that the inserted vessel does not bulge under high arterial pressure.
采用套入式吻合技术将静脉移植物置于大鼠股动脉缺损处，在近端和远端吻合口处的静脉移植物吻合部位应用纤维蛋白胶。如此放置的所有35条静脉移植物均保持通畅，与采用相同套入式吻合技术但未使用纤维蛋白胶置于同一股动脉的静脉移植物相比，通畅率在统计学上更高。在动脉缺损的自体静脉移植中，即使在近端和远端吻合口处都使用两次，纤维蛋白胶辅助的套入式吻合技术似乎能提供与传统方法一样可靠的通畅率。为了保持通畅，应通过诸如应用纤维蛋白胶等方法尽量减少插入血管的畸形，以使插入的血管在高动脉压力下不会膨出。
