Порівняння функціональної надійності венозного шунта, виділеного за методикою no-touch при операції аортокоронарного шунтування, та внутрішньої грудної артерії
Анотація
У статті представлено огляд літератури, що доводить перевагу методики no-touch виділення великої підшкір-ної вени ноги при операції аортокоронарного шунтування порівняно зі стандартною методикою у зниженні час-тоти порушення функції венозних шунтів в ранньому, середньому і віддаленому післяопераційному періоді. Де-тально описано патофізіологічні механізми тромбозу венозного шунта при використанні стандартної методики виділення великої підшкірної вени ноги.
Мета роботи – аналіз літературних даних для оптимального вибору шунта при мультисудинному ураженні коронарних артерій.
Висновки.No-touch методика виділення великої підшкірної вени ноги забезпечує кращий структурний і меха-нічний захист стінки вени. Використання методики n-touch може виявити функціональну надійність венозного шунта, що можна порівняти з внутрішньою грудною артерією.
Посилання
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