The saphenous vein.

The saphenous vein.
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隐静脉。

DOI:
10.1001/jama.1977.03270520059028
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发表时间:
1977
期刊:
JAMA
影响因子:
--
通讯作者:
N. Hertzer
N. Hertzer
中科院分区:
--
文献类型:
--
作者:
N. Hertzer

文献摘要

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在西北大学为荣誉著名外科医生和学者Geza de Takats医学博士而主办的静脉问题研讨会上(芝加哥,1976年12月2日至4日),一些杰出的与会者一致认为,不必要的大隐静脉手术切除严重影响了一些患者后期所需的动脉重建。这一观点值得放大,为每一个医生和外科医生的利益没有出席。自体大隐静脉无疑是目前最好的移植物,用于替换中、小直径的病变动脉,并且在可预见的将来可能仍然如此。虽然动脉内膜切除术和织物移植旁路术在应用于主动脉及其大分支时是相当令人满意的,但如果没有隐静脉的可用性,冠状动脉、肾动脉、腘动脉和胫动脉的动脉硬化的外科治疗的许多惊人进展可能会被推迟,如果不是不可能的话。在
At the symposium on venous problems sponsored by Northwestern University in honor of the eminent surgeon and scholar, Geza de Takats, MD, (Chicago, Dec 2-4, 1976) a number of distinguished participants agreed that unnecessary surgical removal of the greater saphenous vein seriously compromises later arterial reconstruction required by some patients. This opinion deserves amplification for the benefit of every physician and surgeon not in attendance. Autogenous saphenous vein unquestionably is the best graft currently available for replacement of diseased arteries of medium and small diameter, and probably will remain so through the foreseeable future. Although the techniques of endarterectomy and fabric graft bypass are quite satisfactory when applied to the aorta and its large branches, it is likely that many stunning advances in the surgical treatment of arteriosclerosis of the coronary, renal, popliteal, and tibial arteries would have been postponed, if not impossible, without the availability of saphenous vein. In