闭孔动脉搭桥术作为感染性股动脉假性动脉瘤患者血管重建的替代技术。
Obturator bypass as an alternative technique for revascularization in patients with infected femoral pseudoaneurysms.
作者信息
Rabbani Abbas, Moini Majid, Rasouli Mohammad-Reza
机构信息
Division of Vascular Surgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Arch Iran Med. 2008 Jan;11(1):50-3.
BACKGROUND
Management of the infected femoral artery pseudoaneurysm has remained controversial. Although common femoral artery ligation and local debridement is an acceptable approach, some patients need revascularization for the treatment of leg ischemia or intermittent claudication. In this study, we report obturator bypass as an alternative technique that has been done at Sina Hospital, Tehran, Iran during a 10-year period.
METHODS
This was a retrospective study and the data were obtained from the patients' medical records.
RESULTS
Ten obturator bypasses were done on nine patients. Two cases had previous history of ligation of the femoral artery branches. One death and two forefoot amputations occurred.
CONCLUSION
Femoral artery ligation has been suggested as the treatment of choice for the management of infected femoral artery pseudoaneurysms. Among the extra-anatomic bypasses, the obturator bypass is an acceptable alternative with favorable results.
背景
感染性股动脉假性动脉瘤的治疗仍存在争议。尽管股总动脉结扎和局部清创是一种可接受的方法，但一些患者需要进行血管重建以治疗腿部缺血或间歇性跛行。在本研究中，我们报告了闭孔动脉旁路移植术作为一种替代技术，该技术在伊朗德黑兰的西娜医院进行了为期10年。
方法
这是一项回顾性研究，数据来自患者的病历。
结果
对9例患者进行了10次闭孔动脉旁路移植术。2例患者既往有股动脉分支结扎史。发生了1例死亡和2例前足截肢。
结论
股动脉结扎已被建议作为治疗感染性股动脉假性动脉瘤的首选方法。在解剖外旁路移植术中，闭孔动脉旁路移植术是一种可接受的替代方法，效果良好。
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