Ishitoya H, Endo M, Nishida H, Nakano K, Yagi Y, Koyanagi T, Abe R, Yamaki F, Hirota J, Nakatani H
Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Woman's Medical College.
Kyobu Geka. 1995 Feb;48(2):100-5.
In four redo CABG patients, new saphenous vein grafts were anastomosed to the angiographically normal part of the old, and partially narrowed or occluded saphenous vein grafts in an end-to-side fashion. Inner surface of the old saphenous vein was confirmed to be smooth and free of atherosclerotic change during anastomosis. Postoperative course was uneventful and angiography demonstrated the good patency of new saphenous vein grafts in all patients. Although this technique is not acceptable if the old saphenous vein graft shows extensive atherosclerotic change, this method may be a useful alternative in case of limited saphenous vein graft disease in terms of less difficulty and operation time.
在4例再次冠状动脉旁路移植术（CABG）患者中，将新的大隐静脉移植物以端侧吻合的方式吻合至旧的、部分狭窄或闭塞的大隐静脉移植物血管造影正常的部分。吻合过程中证实旧大隐静脉的内表面光滑，无动脉粥样硬化改变。术后病程平稳，血管造影显示所有患者新的大隐静脉移植物通畅良好。虽然如果旧的大隐静脉移植物显示广泛的动脉粥样硬化改变，这种技术是不可接受的，但就难度和手术时间而言，对于大隐静脉移植物病变有限的情况，这种方法可能是一种有用的替代方法。
