肝素浸渍硅胶分流管用于颈动脉内膜切除术的临床及实验室经验。

Piepgras D G, Sundt T M

Ann Surg. 1976 Nov;184(5):637-41. doi: 10.1097/00000658-197611000-00019.

Our experience with use of a Silastic shunt for carotid endarterectomy is reviewed briefly, and the complication of shunt thrombosis despite intraoperative administration of heparin is noted. Of obvious importance are the reduction of blood flow and the possibility of embolization caused by accumulating thrombus. Shunt thrombosis has been abolished by the use of heparin-impregnated Silastic shunts. In experiments in dogs, such heparin-treated shunts showed greater thromboresistance than did untreated shunts.

我们简要回顾了使用硅橡胶分流管进行颈动脉内膜切除术的经验，并指出尽管术中使用了肝素，但仍出现了分流管血栓形成的并发症。血流减少以及血栓积聚导致栓塞的可能性显然很重要。使用肝素浸渍的硅橡胶分流管已消除了分流管血栓形成。在犬类实验中，这种经肝素处理的分流管比未处理的分流管显示出更大的抗血栓性。