Reichle F A, Tyson R R
Ann Surg. 1975 Oct;182(4):449-55. doi: 10.1097/00000658-197510000-00010.
Successful revascularization of the severely ischemic lower extremity can be achieved by femorotibial as well as femoropopliteal bypass. The incidence of delayed graft occlusion after salvage of the severely ischemic lower extremity is low in patients with femorotibial or femoropopliteal bypass. Femorotibial bypass was performed in over one-third of patients undergoing bypass. Tibial bypasses resulted in effective prolonged revascularization of the severely ischemic lower extremity. An aggressive diagnostic and therapeutic approach to revascularization of the severely ischemic lower extremity can result in prolonged limb salvage by tibial or popliteal bypasses in lieu of primary amputation.
通过股胫以及股腘旁路手术可实现严重缺血下肢的成功血运重建。在接受股胫或股腘旁路手术的患者中，严重缺血下肢挽救术后移植物延迟闭塞的发生率较低。超过三分之一接受旁路手术的患者进行了股胫旁路手术。胫动脉旁路手术可有效延长严重缺血下肢的血运重建时间。对严重缺血下肢血运重建采取积极的诊断和治疗方法，可通过胫动脉或腘动脉旁路手术替代一期截肢，从而延长肢体挽救时间。
