摘要
【目的】探讨左桡动脉作为移植血管在冠脉搭桥手术中的应用。【方法】 93例冠脉搭桥术患者 ,手术测压试验决定是否切取桡动脉。桡动脉伴随静脉一起切取。术中采用不直接接触桡动脉的方法。【结果】平均桡动脉移植血管长 (2 2±1)cm ,术后流量 (38± 5 )mL/min。与冠状动脉前降支、钝缘支、右冠脉血管单独或序贯吻合。无术中痉挛现象 ,围术期无出血栓塞合并症 ,术后左手无缺血合并症。【结论】桡动脉移植血管可常规应用于冠脉搭桥手术。本文介绍的切取方法可有效防止移植血管损伤及术后合并症。
Objective To present the method of harvesting left radial artery and the clinical effects in 93 coronary artery bypass grafting (CABG) patients. Methods Allen's test and intraoperative occlusion test were used to determine the safety of radial artery harvesting. The company veins were harvested together with the artery. No touch method was used. Results The mean length of radial graft was (22±1) cm. The bypass flow was (38±5) mL/min after reperfusion. Radial artery was separately or sequentially grafted to anterior descending artery, obtuse marginal branches, right coronary artery. No vascular spasm, bleeding and embolism during operation, and no ischemia phenomenon of left hand after operation were found. Conclusion The left radial artery should be encouraged to be used as a routine graft during CABG. The harvesting method effectively prevents the perioperative complications.
出处
《中山医科大学学报》
CSCD
北大核心
2001年第4期274-275,共2页
Academic Journal of Sun Yat-sen University of Medical Sciences
基金
TheResearchFoundationofTampereUniversityHospital(9813 3 )
