Buche M, Dion R
Department of Cardiovascular and Thoracic Surgery, Catholic University of Louvain, Bruxelles, Belgium.
Semin Thorac Cardiovasc Surg. 1996 Jan;8(1):10-4.
The current trend is to use more arterial conduits for myocardial revascularization. The rationale for this trend is that the late patency rate of internal thoracic artery grafts has been shown to be superior to that of saphenous vein grafts. The desire to achieve complete myocardial revascularizations only with arterial conduits has led to consideration of new arteries as coronary artery bypass grafts. Recently, the inferior epigastric artery has been proposed as one of these alternative grafts. It is expected that this new conduit will provide the same advantages as the free internal thoracic artery used in similar circumstances, but this assumption has not been validated yet. This article will review the clinical experience currently gained with the use of the inferior epigastric artery as a coronary artery bypass graft.
当前的趋势是在心肌血运重建中使用更多的动脉血管。这一趋势的理论依据是，已证实胸廓内动脉移植物的晚期通畅率优于大隐静脉移植物。仅使用动脉血管实现完全心肌血运重建的愿望促使人们考虑将新的动脉作为冠状动脉旁路移植血管。最近，腹壁下动脉已被提议作为这些替代移植物之一。预计这种新的血管将提供与在类似情况下使用的游离胸廓内动脉相同的优势，但这一假设尚未得到验证。本文将回顾目前使用腹壁下动脉作为冠状动脉旁路移植血管所获得的临床经验。
