Winter C, Kilic M, Gamstätter G
Gefässchirurgische Klinik, Dr.-Horst-Schmidt Kliniken, Wiesbaden, Germany.
Zentralbl Chir. 2002 Feb;127(2):105-9. doi: 10.1055/s-2002-22025.
The combination of open surgery with endoluminal catheter techniques offers new chances in the treatment of multi-staged arterial occlusive disease. We report our experiences in 205 patients. In n = 125 patients TEA or bypass were undertaken in the groin with simultaneous catheter intervention proximally or distally. In 31 patients the operation was carried out above knee and in 49 cases below knee. 94 patients with an open operation in the groin and simultaneous iliac catheter interventions are in the follow up. For these interventions the combined secondary patency rate was 77 % after three years.
开放手术与腔内导管技术相结合为多节段动脉闭塞性疾病的治疗提供了新的契机。我们报告了205例患者的治疗经验。125例患者在腹股沟区进行了TEA或旁路手术,同时在近端或远端进行导管介入治疗。31例患者在膝上进行手术,49例在膝下进行手术。94例在腹股沟区进行开放手术并同时进行髂动脉导管介入治疗的患者正在接受随访。对于这些干预措施,三年后的联合二级通畅率为77%。