Paetz B, Maeder N, Meybier H, Allenberg J R
Chirurgische Universitätsklinik Heidelberg, Germany.
Eur J Vasc Surg. 1991 Dec;5(6):621-5. doi: 10.1016/s0950-821x(05)80895-3.
If only one pedal artery is patent the vascular surgeon has to decide between primary amputation and a bypass. Between 1980 and 1990, 460 femoro-distal bypasses were performed in our clinic and 8% (39 cases) of these received a pedal reconstruction. At discharge from the hospital 85% of these grafts were patent. The primary goal of treatment, to maintain life and salvage the limb on the basis of a functioning bypass, was obtained in 82% of patients. After 1 year the secondary patency of our pedal reconstructions was 68%. Taking the mortality of amputations into account, vascular surgery to the foot arteries is preferable to amputation, whenever possible.
如果只有一条足部动脉通畅，血管外科医生必须在一期截肢和搭桥手术之间做出抉择。1980年至1990年间，我们诊所进行了460例股-远端搭桥手术，其中8%（39例）接受了足部重建手术。出院时，这些移植物的通畅率为85%。82%的患者实现了治疗的主要目标，即在搭桥功能良好的基础上维持生命并挽救肢体。1年后，我们足部重建手术的二期通畅率为68%。考虑到截肢的死亡率，只要有可能，对足部动脉进行血管手术优于截肢。
