Van Damme H, Baguet E, Zhang L, Creemers E, Limet R
Service de Chirurgie cardio-vasculaire, CHU, Sart Tilman, Liège.
Rev Med Liege. 2003 Jun;58(6):415-28.
Limb threatening ischemia is a challenge for the vascular surgeon. Recent progress in revascularization procedures allow to minimize the primary amputation rate in the management of chronic critical limb ischemia. The authors discuss the prevalence and causes of chronic critical limb ischemia, with a special interest for diabetic arteriopathy. The technique of crural and pedal vessel revascularization is described, as well as the innovative tourniquet technique for distal bypass surgery. A review of published series of infrapopliteal bypass surgery is made. The experience of the authors during last decade with crural and pedal bypass surgery is analyzed.
肢体威胁性缺血对血管外科医生来说是一项挑战。血管重建手术的最新进展使得在慢性严重肢体缺血的治疗中能够将初次截肢率降至最低。作者讨论了慢性严重肢体缺血的患病率和病因，尤其关注糖尿病性动脉病变。描述了小腿和足部血管重建技术，以及用于远端旁路手术的创新止血带技术。对已发表的腘动脉以下旁路手术系列进行了综述。分析了作者在过去十年中进行小腿和足部旁路手术的经验。
