The Saphenous Vein Graft: Can a Frog Become a Princess?

被引：0

作者：

Calafiore, Antonio Maria ^{[1
]}

Prapas, Sotirios ^{[1
]}

Condello, Ignazio ^{[2
]}

Katsavrias, Konstantinos ^{[1
]}

Nasso, Giuseppe ^{[2
]}

Gaudino, Mario ^{[3
]}

机构：

[1] Henry Dunant Hosp, Dept Cardiac Surg 1, Leof Mesoge 107, Athens 11526, Greece

[2] Anthea Hosp GVM Care & Res, Dept Cardiac Surg, Via Camillo Rosalba 35-37, I-70124 Bari, Italy

[3] Weill Cornell Med, Dept Cardiothorac Surg, 1300 York Ave, New York, NY 10065 USA

来源：

MEDICINA-LITHUANIA | 2024年 / 60卷 / 12期

关键词：

saphenous vein graft; nitric oxide; composite graft; shear stress; INTERNAL-THORACIC-ARTERY; MAMMARY-ARTERY; NITRIC-OXIDE; SURVIVAL; PATENCY; FATE;

D O I：

10.3390/medicina60121915

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The saphenous vein graft (SVG) has been a cornerstone of coronary bypass surgery, but its long-term patency is limited by accelerated atherosclerosis. Recent advancements, including the no-touch technique and the use of SVG as a limb of the left internal thoracic artery (LITA), have shown promise in improving outcomes. Both approaches enhance nitric oxide (NO) availability, a key factor in promoting endothelial stability and arterial-like behavior in the SVG. Among these, the LITA-SVG connection may offer superior long-term benefits due to sustained NO supplementation. This paper argues that the SVG, with proper strategies, can indeed achieve outcomes comparable to arterial grafts.

引用

页数：6

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