摘要
目的总结旋股外侧动脉降支(DBLCFA)作为冠状动脉旁路移植血管的研究进展。方法将"旋股外侧动脉降支""冠状动脉旁路移植术""心肌血运重建""全动脉化""解剖"以及"coronary artery bypass grafting""descending branch of the lateral circumflex femoral artery""myocardial revascularization""total arterial revascularization"等作为关键词在中国知网、万方数据以及PubMed数据库中进行文献检索,根据纳入和排除标准最终纳入1996年1月—2020年11月相关文献共30篇,其中中文2篇、英文28篇。结合临床经验,从DBLCFA的解剖学特点、组织学表现以及在冠状动脉旁路移植术中应用的疗效和手术技术等方面进行总结。结果 DBLCFA在解剖上具有足够的可获取长度以及与冠状动脉相匹配的血管直径等特点,在组织学上具备抗动脉粥样硬化的稳定性,且获取途径便捷、中期通畅率良好,因此成为心肌血运重建手术中动脉桥血管材料的一种可靠选择。结论 DBLCFA作为冠状动脉旁路移植血管具有良好的临床应用价值,在技术上安全可行,拥有较好的中期效果和较低的并发症发生率,但其远期应用效果尚需进一步评估。
Objective To summarize the research progress on the use of the descending branch of the lateral femoral circumflex artery(DBLCFA)in coronary artery bypass grafting.Methods Thirty related articles were obtained by keyword search using the terms,"旋股外侧动脉降支""冠状动脉旁路移植术""心肌血运重建""全动脉化""解剖"and"coronary artery bypass grafting""descending branch of the lateral circumflex femoral artery""cardiovascular reconstruction""total arterial revascularization"in CNKI,and Wanfang data and PubMed from January 1996 to November 2020.The use of the DBLCFA in coronary artery bypass grafting was also analyzed and summarized based on the clinical experience of our center.Results Anatomically,DBLCFA has accessible length and matches the vascular diameter of target coronary arteries.Histologically,it has anti-atherosclerosis stability.DBLFCA shows a satisfactory patency rate in mid-term follow-up;thus,it is a reliable choice of artery material in myocardial revascularization.Conclusions DBLCFA has good clinical application value as a coronary artery bypass graft material and is technically safe and feasible with good medium-term outcomes and low incidence of complications.However,its long-term application effect needs to be further evaluated.
作者
宋剑
王菊
赵锐
罗新锦
于存涛
王巍
Jian Song;Ju Wang;Rui Zhao;Xinjin Luo;Cuntao Yu;Wei Wang(Department of Cardiovascular Surgery,National Center for Cardiovascular Diseases,Fuwai Hospital,Chinese Academy of Medical Sciences,Peking Union Medical College,Beijing 100037,China)
出处
《中华解剖与临床杂志》
2021年第6期721-724,共4页
Chinese Journal of Anatomy and Clinics
关键词
心肌血管重建术
冠状动脉旁路移植术
旋股外侧动脉降支
心肌血运重建
全动脉化
Myocardial revascularization
Coronary artery bypass grafting
Descending branch of the lateral circumflex femoral artery
Myocardial revascularization
Total arterial revascularization
