Fremes S E, Christakis G T, Del Rizzo D F, Musiani A, Mallidi H, Goldman B S
Division of Cardiovascular Surgery, Sunnybrook Health Science Centre, University of Toronto, Ontario, Canada.
J Card Surg. 1995 Sep;10(5):537-44. doi: 10.1111/j.1540-8191.1995.tb00629.x.
There is renewed interest in the use of the radial artery as a conduit for coronary artery bypass. Fifty patients underwent bypass surgery using the radial artery in addition to other conduits between November 24, 1992 and November 8, 1994 at our institution. The mean age was 54.4 +/- 9.1 years (mean +/- SD) and 47 of the patients were male. There were 3.6 +/- 0.9 and stomses per patient, of which 2.2 +/- 0.4 were arterial anastomoses. The most common target vessel for the radial artery has been the obtuse marginal (58.8%), with the aorta as the usual site for proximal anastomosis (80.4%). There have been no ischemic hand complications and no radial nerve deficits. There have been no early or late deaths and no myocardial ischemic complications related to the use of the radial artery. We present the techniques used at our institution for the use of the radial artery as a conduit for coronary artery bypass.
人们对将桡动脉用作冠状动脉搭桥的血管 conduit 重新产生了兴趣。1992年11月24日至1994年11月8日期间，在我们机构有50名患者除了使用其他血管 conduit 外，还使用桡动脉进行了搭桥手术。平均年龄为54.4±9.1岁（平均±标准差），其中47名患者为男性。每位患者有3.6±0.9个吻合口，其中2.2±0.4个为动脉吻合口。桡动脉最常见的靶血管是钝缘支（58.8%），近端吻合的常见部位是主动脉（80.4%）。未出现手部缺血并发症和桡神经缺损。未发生与使用桡动脉相关的早期或晚期死亡以及心肌缺血并发症。我们介绍了我们机构将桡动脉用作冠状动脉搭桥血管 conduit 所采用的技术。
