Licht P, Jacobsen E, Lerbjerg G, Andersen P E, Alstrup P
Department of Thoracic and Cardiovascular Surgery, Odense University Hospital, Denmark.
Eur J Cardiothorac Surg. 1996;10(5):327-30. doi: 10.1016/s1010-7940(96)80090-x.
Various alternative conduits for aortocoronary bypass grafting have been suggested when the saphenous vein quality is inadequate. During a 10-year period we have used the cephalic vein in 39 patients. Eighteen entered an angiographic follow-up study. A total of 31 arm vein grafts were used with 43 distal anastomoses. When calculating patency by number of patent distal anastomoses, this was 46% (median follow-up was 31 months), but calculating by the number of patent grafts we found 52% patency (median follow-up 31 months). In conclusion, we discourage others from using arm veins in aortocoronary bypass operations.
当大隐静脉质量不佳时，人们提出了各种用于主动脉冠状动脉旁路移植术的替代血管。在10年期间，我们对39例患者使用了头静脉。其中18例进入了血管造影随访研究。总共使用了31条手臂静脉移植物，进行了43次远端吻合。按通畅的远端吻合数量计算通畅率，为46%（中位随访时间为31个月），但按通畅的移植物数量计算，通畅率为52%（中位随访31个月）。总之，我们不鼓励其他人在主动脉冠状动脉旁路手术中使用手臂静脉。
