Vänttinen E, Inberg M V, Scheinin T M
Acta Chir Scand. 1975;141(5):341-52.
The outcome of 127 femoropopliteal and 23 femorotibial arterial reconstructions carried out between January 1960 and December 1972 has been reviewed. The operative method was autogenous saphenous vein bypass in 109 cases, 82 of which were performed using unreversed vein with eversion valvectomy. The indication for reconstruction was advanced ischemia in 39%. Two patients died primarily and 23 late deaths have occurred subsequently. 19 grafts or reconstructed segments became occluded primarily. Most of them were femorotibial reconstructions of Dacron bypass reconstructions. Most of the failures occurred within 1 year of surgery. Using eversion valvectomy technique, the 1- and 5-year patency rates were 57 and 50% respectively. In femorotibial reconstructions the 1-year patency rate was 36%. There was a distinct difference in patency between the cases with excellent of good outflow and those with fiar or poor outflow. The difference was less distinct between patients with claudication and those with advanced ischemia. Eight limbs needed major amputation.
回顾了1960年1月至1972年12月间进行的127例股腘动脉和23例股胫动脉重建手术的结果。手术方法为自体大隐静脉旁路移植术109例，其中82例采用不翻转静脉并切除瓣膜。重建的指征为重度缺血的患者占39%。2例患者术中死亡，随后有23例晚期死亡。19例移植血管或重建节段发生原发性闭塞。其中大多数是股胫动脉重建或涤纶旁路重建。大多数失败发生在术后1年内。采用切除瓣膜技术，1年和5年通畅率分别为57%和50%。在股胫动脉重建中，1年通畅率为36%。流出道良好或优秀的病例与流出道差或一般的病例之间通畅率有明显差异。间歇性跛行患者和重度缺血患者之间的差异不太明显。8条肢体需要进行大截肢。
