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未被检测到的主-髂动脉瓣关闭不全:隐静脉旁路移植术治疗股浅动脉闭塞早期失败的一个原因。

Undetected aorto-iliac insufficiency: a reason for early failure of saphenous vein bypass grafts for obstruction of the superficial femoral artery.

作者信息

Charlesworth D, Harris P L, Cave F D, Taylor L

出版信息

Br J Surg. 1975 Jul;62(7):567-70. doi: 10.1002/bjs.1800620716.

DOI:10.1002/bjs.1800620716
PMID:1174791
Abstract

A series of 29 femoropopliteal bypass operations is described. The patients were selected carefully to exclude those with clinical and aortographic evidence of aorto-iliac disease. A pulsatility index was calculated from the velocity waveforms recorded over the common femoral and popliteal arteries. The pulsatility index is the ratio of the amplitude of the waveform to its mean height over one cardiac cycle. There was a highly significant difference in the result of the operation between patients with a pulsatility index of 4 or more in the common femoral artery and patients with a pulsatility index of less than 4. We concluded that calculation of this pulsatility index provides useful additional evidence when selecting patients suitable for a femoropopliteal bypass.

摘要

本文描述了一系列29例股腘动脉搭桥手术。患者经过仔细挑选,以排除那些有腹主动脉-髂动脉疾病临床和血管造影证据的患者。根据在股总动脉和腘动脉记录的速度波形计算搏动指数。搏动指数是一个心动周期内波形幅度与其平均高度的比值。股总动脉搏动指数为4或更高的患者与搏动指数小于4的患者之间,手术结果存在高度显著差异。我们得出结论,在选择适合股腘动脉搭桥的患者时,计算这种搏动指数可提供有用的额外证据。

相似文献

1
Undetected aorto-iliac insufficiency: a reason for early failure of saphenous vein bypass grafts for obstruction of the superficial femoral artery.未被检测到的主-髂动脉瓣关闭不全:隐静脉旁路移植术治疗股浅动脉闭塞早期失败的一个原因。
Br J Surg. 1975 Jul;62(7):567-70. doi: 10.1002/bjs.1800620716.
2
Common femoral artery-to-proximal popliteal artery bypass and common femoral artery-to-tibial artery bypass.股总动脉至腘动脉近端搭桥术及股总动脉至胫动脉搭桥术。
Surg Clin North Am. 1980 Jun;60(3):527-35. doi: 10.1016/s0039-6109(16)42132-8.
3
Hemorrhage and thrombosis as early complications of femoropopliteal bypass grafts: causes, treatment, and prognostic implications.
Surgery. 1973 Dec;74(6):839-45.
4
Iatrogenic entrapment of femoropopliteal saphenous vein bypass grafts by the gastrocnemius muscle.腓肠肌导致的医源性股腘隐静脉旁路移植血管受压
Surgery. 1975 Nov;78(5):668-74.
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Intraoperative monitoring of femorotibial bypass grafts.股胫动脉搭桥移植物的术中监测
Surg Clin North Am. 1974 Feb;54(1):77-84. doi: 10.1016/s0039-6109(16)40235-5.
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[Factors determining late patency of aortobifemoral bypass graft].[决定主-双股动脉旁路移植术远期通畅率的因素]
Srp Arh Celok Lek. 1997 Jan-Feb;125(1-2):24-35.
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Femoropopliteal bypass vs percutaneous transluminal angioplasty and stenting in treatment of peripheral artery diseases of infrainquinal segment - short-term results.股腘动脉搭桥术与经皮腔内血管成形术及支架置入术治疗下肢动脉节段性外周动脉疾病的短期疗效比较
Prilozi. 2009 Jul;30(1):105-18.
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[Femoropopliteal by-pass with autologous saphenous graft].自体大隐静脉移植股腘动脉搭桥术
Minerva Med. 1973 May 19;64(35):1892-903.
9
New technique for construction of coposite Dacron vein grafts for femoro-distal popliteal bypass in the severely ischemic leg.用于严重缺血下肢股-腘动脉搭桥的复合涤纶静脉移植物构建新技术。
Ann Surg. 1975 May;181(5):670-5. doi: 10.1097/00000658-197505000-00022.
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Femoropopliteal bypass in elderly diabetic patients.老年糖尿病患者的股腘动脉搭桥术
Am J Surg. 1979 Apr;137(4):549-55. doi: 10.1016/0002-9610(79)90129-6.

引用本文的文献

1
Occult iliac artery stenosis.隐匿性髂动脉狭窄
Cardiovasc Dis. 1981 Mar;8(1):102-107.
2
Digitiser/processor for extraction of clinical parameters from Doppler-shift waveforms.用于从多普勒频移波形中提取临床参数的数字化仪/处理器。
Med Biol Eng Comput. 1980 Jan;18(1):81-6. doi: 10.1007/BF02442484.
3
The diagnosis of aortoiliac disease. A noninvasive femoral cuff technique.主髂动脉疾病的诊断。一种非侵入性股袖带技术。
Ann Surg. 1983 Feb;197(2):204-9. doi: 10.1097/00000658-198302000-00013.
4
Doppler waveform analysis in the management of lower limb arterial disease.多普勒波形分析在下肢动脉疾病管理中的应用
Ann R Coll Surg Engl. 1986 Mar;68(2):103-6.
5
Preoperative estimation of run off in patients with multiple level arterial obstructions as a guide to partial reconstructive surgery.多节段动脉阻塞患者术前血流情况评估作为部分重建手术的指导
Ann Surg. 1978 Nov;188(5):663-5. doi: 10.1097/00000658-197811000-00013.