Cormier J M, Marzelle J
Chirurgie vasculaire, hôpital Saint-Joseph, Paris.
Arch Mal Coeur Vaiss. 1991 Nov;84(11 Suppl):1725-32.
The results of surgical treatment of peripheral artery disease at the stage of intermittent claudication may now be assessed with a 40 year follow-up. In selected cases the 10 year patency rate of aortoiliac revascularisation is 90% and the 5 year patency rate of femoropopliteal revascularisation is 85%. When the indications are widened to include less favourable lesions giving rise to severe claudication, the patency rate falls to 60% at 5 years. These results should improve with better preoperative assessment by Doppler ultrasonography the use of new material and methods (endovascular) and stricter control of the revascularisation procedure by angioscopy in patients with severe effort ischaemia which is the principal surgical indication; the association of endovascular revascularisation procedures has increased the therapeutic indications and improved the functional result.
间歇性跛行阶段外周动脉疾病的外科治疗结果现在可以通过40年的随访进行评估。在特定病例中，主髂动脉血管重建的10年通畅率为90%，股腘动脉血管重建的5年通畅率为85%。当适应症扩大到包括引起严重跛行的不太有利的病变时，5年通畅率降至60%。通过多普勒超声进行更好的术前评估、使用新材料和方法（血管内治疗）以及通过血管镜对严重劳力性缺血患者的血管重建手术进行更严格的控制，这些结果应该会得到改善，严重劳力性缺血是主要的手术适应症；血管内血管重建手术的联合应用增加了治疗适应症并改善了功能结果。
