Buxton B F, Fuller J A, Tatoulis J
Austin & Repatriation Medical Centre, Epworth Hospital, Melbourne, Australia.
Tex Heart Inst J. 1998;25(1):17-23.
Arterial grafting for the correction of coronary artery disease preceded the use of saphenous vein grafts, but the overwhelming popularity of the saphenous vein from 1970 to 1985 left the development of arterial grafting dormant. Excellent graft patency results from pedicled internal thoracic artery grafting and continued saphenous vein graft failure prompted our unit to explore complete arterial grafting with internal thoracic artery and radial artery grafts. One thousand and fifty-three patients who received a combination of internal thoracic artery and radial artery grafts were compared with 1,156 patients who received internal thoracic artery and saphenous vein grafts. All patients underwent primary coronary artery bypass surgery between 1995 and 1998. The early mortality and morbidity and the probability of survival at 2 years were similar in both groups of patients. Early graft patency studies of 35 radial artery grafts showed 33 (94%) were patent at a mean of 12 months. Complete arterial grafting using internal thoracic and radial arteries is safe and may provide a long-term benefit.
用于矫正冠状动脉疾病的动脉移植术先于隐静脉移植术出现，但在1970年至1985年间，隐静脉移植术大受欢迎，使得动脉移植术的发展陷入停滞。带蒂胸廓内动脉移植术的移植物通畅率极佳，且隐静脉移植持续出现失败情况，促使我们科室探索使用胸廓内动脉和桡动脉进行全动脉移植。将1053例接受胸廓内动脉和桡动脉联合移植的患者与1156例接受胸廓内动脉和隐静脉移植的患者进行了比较。所有患者均在1995年至1998年间接受了初次冠状动脉搭桥手术。两组患者的早期死亡率和发病率以及2年生存率相近。对35例桡动脉移植物进行的早期移植物通畅性研究显示，平均12个月时，33例（94%）移植物通畅。使用胸廓内动脉和桡动脉进行全动脉移植是安全的，且可能带来长期益处。
