Conduits for Coronary Bypass: Arteries Other Than the Internal Thoracic Artery's.
Conduits for Coronary Bypass: Arteries Other Than the Internal Thoracic Artery's.
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DOI：
10.5090/kjtcs.2013.46.3.165
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发表时间：
2013-06
期刊：
影响因子：
--
通讯作者：
Barner HB
中科院分区：
文献类型：
--
作者：
Barner HB
这是第三次在一系列的冠状动脉搭桥术，其中审查三个替代动脉管道。桡动脉已成为三种血管中使用最广泛的，积累的经验表明，10年时的通畅性优于隐静脉。缺点是前臂上的切口很长，痉挛和持续感觉障碍的倾向约为10%。第一种是通过内窥镜采集，这可能会产生更短的管道，但减少感觉神经损伤。痉挛可以通过较少的收获创伤来控制。胃网膜动脉原位游离使用，虽然进入腹腔，但并发症极少，通畅性优于桡动脉。腹壁下动脉的使用仍然很少，其相似的长度通常需要复合使用，但有限的通畅性数据是支持的。其他动脉很少使用，这是不太可能改变的，因为这里介绍的三种动脉具有显着的优势和接受度。
This is the third in a series on coronary artery bypass which reviews three alternative arterial conduits. The radial artery has become the most widely used of the three and accumulating experience demonstrates better patency at 10 years versus saphenous vein. Drawbacks are a long incision on the forearm, the propensity for spasm and persistent sensory disturbance in about 10%. The first is answered by endoscopic harvest which may yield a shorter conduit but reduces sensory nerve injury. Spasm is managed pharmacologically and by less harvest trauma. The gastroepiploic artery is used in situ and free and although the abdominal cavity is entered complications are minimal and patency compares favorably with the radial artery. Use of the inferior epigastric artery remains minimal and its similar length often requires composite use but limited patency data are supportive. Other arteries have had rare use and this is unlikely to change because the three presented here have significant advantages and acceptance.