cagb术桥血管的选择.pptxVIP

CAGB术桥血管(xuèguǎn)的选择与评估Cardiavascular Surgery Department of our 1st Hospital of Lanzhou University was founded in the 1950s, take the lead in Northwest China to carry out the cardiavascular surgery. Now is the largest cardiac center in our province, we have team of anesthesia, extracorporal circulation, ultrasonic cardiogram and ICU of our own, and nearly 1,000 case of operation was completed annually. 第一页，共49页。IntroductionCardiavascular Surgery Department of our 1st Hospital of Lanzhou University was founded in the 1950s, take the lead in Northwest China to carry out the cardiavascular surgery. Now is the largest cardiac center in our province, we have team of anesthesia, extracorporal circulation, ultrasonic cardiogram and ICU of our own, and nearly 1,000 case of operation was completed annually. 1234血管内径2-3mm，其直径与冠状动脉直径之比1-2:1管壁厚度血管壁厚度＜1mm长度足够 足以达到冠状动脉靶血管表浅易获取 对被取部位的结构和功能不产生明显影响7658理想的桥血管抗压 自身有一定的压力承受能力，不易在术后出现纤维化、钙化和粥样硬化带蒂血管 最好是带蒂血管，只需行一个远端吻合不易痉挛通畅 能保持良好的远期通畅率第二页，共49页。CONTENTSCardiavascular Surgery Department of our 1st Hospital of Lanzhou University was founded in the 1950s, take the lead in Northwest China to carry out the cardiavascular surgery. Now is the largest cardiac center in our province, we have team of anesthesia, extracorporal circulation, ultrasonic cardiogram and ICU of our own, and nearly 1,000 case of operation was completed annually. 01Internal ThoracicArtery0203Radial ArteryGastroepiploicArtery04Greater SaphenousVein第三页，共49页。1. Internal Thoracic ArteryCardiavascular Surgery Department of our 1st Hospital of Lanzhou University Now is the largest cardiac center in our province, we have team of anesthesia, extracorporal circulation, ultrasonic cardiogram and ICU of our own, and nearly 1,000 case of operation was completed annually. 第四页，共49页。Internal Thoracic ArteryCardiavascular Surgery Department of our 1st Hospital of Lanzhou University was founded in the 1950s, take the lead in Northwest China to carry out the cardiavascular surgery. Now