Zhang L, Moskowitz M, Ostad D, Kessler K, Siebert J W
Institute of Reconstructive Plastic Surgery, New York University Medical Center, New York 10016, USA.
Microsurgery. 1996;17(6):291-4. doi: 10.1002/(SICI)1098-2752(1996)17:6<291::AID-MICR1>3.0.CO;2-L.
A new technique for microvascular four-stitch sleeve anastomosis of arteries is described. Modifications from previously described techniques include absence of suture material within the arterial lumen, and a decreased proximal to distal artery overlap. In 40 rat arterial anastomoses, 100% patency without evidence of stenosis or early aneurysm formation was seen up to 6 weeks postoperatively by in vivo observation, arteriography and Doppler flow study. This new anastomosis was also successful in repairing two clinical cases of complete radial artery transection as evident from physical examination and doppler flow study. We believe that this new four-stitch sleeve anastomosis is faster and easier to perform and has patency and flow characteristics similar to those of the conventional end-to-end anastomosis.
本文描述了一种用于动脉微血管四针套式吻合的新技术。与先前描述的技术相比，改进之处包括动脉腔内无缝合材料，以及动脉近端至远端的重叠减少。通过体内观察、动脉造影和多普勒血流研究，在40例大鼠动脉吻合术中，术后6周内100%通畅，无狭窄或早期动脉瘤形成的迹象。从体格检查和多普勒血流研究可以明显看出，这种新的吻合术在修复两例桡动脉完全横断的临床病例中也取得了成功。我们认为，这种新的四针套式吻合术操作更快、更容易，并且具有与传统端端吻合术相似的通畅性和血流特性。
