动脉与静脉旁路移植在患有静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉
Mario Gaudino1, Carlo Cellini, Claudio Pragliola
1Department of Cardiac Surgery, Catholic University, Rome, Italy. mgaudino@tiscali.it
Circulation
|September 15, 2005
概括
与静脉移植相比,动脉旁路导管显著改善了静脉静脉移植相比,静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉. 动脉移植提供更好的长期通透性和减少缺血复发,使它们成为首选选择.
科学领域:
- 心血管外科心血管外科
- 干预心脏病学 干预心脏病学
背景情况:
- 通过皮肤进行的再血管化对于静脉静脉复缩来说具有挑战性.
- 为了成功治疗,通常需要进行手术.
研究的目的:
- 为了评估在患者的外科重血管化结果.
- 评估动脉旁路导管与静脉移植的疗效.
主要方法:
- 随机对照试验比较动脉导管 (右侧内胸动脉,半径动脉) 与大桑静脉移植.
- 在每组中,有60名患有内置支架置症的患者.
- 临床和血管学随访平均为52个月.
主要成果:
- 与静脉移植相比,动脉移植显示出更高的通透率和减少缺血复发率.
- 静脉移植失败在静脉支架复原组显著高.
- 在这两组中,高胆固醇血症是移植失败的独立预测因素.
结论:
- 动脉导管与患者的临床和血管检查结果的改善有关.
- 在这种患者群体中,静脉移植的失败率很高.
- 动脉移植应该是治疗静脉静脉复缩的首要手术选择.
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