Takolander R
Department of Surgery, Karolinska Hospital, Stockholm, Sweden.
Qual Assur Health Care. 1990;2(3-4):279-95. doi: 10.1093/intqhc/2.3-4.279.
In this review of outcome after vascular surgery the results after surgery for abdominal aortic aneurysm (AAA), carotid endarterectomy (CEA) and reconstructions for ischemia of the lower limbs are discussed and compared with the natural course of the disease. Deaths due to rupture of AAA is an increasing problem even though elective surgery because of AAA has increased, the appropriateness of CEA, which is a seemingly logical operation, has been widely discussed, and operations because of ischemia in the lower limbs constitute some 50% of the work of the vascular surgeon.
在本次血管外科手术预后的综述中,我们讨论了腹主动脉瘤(AAA)手术、颈动脉内膜切除术(CEA)以及下肢缺血重建术后的结果,并将其与疾病的自然进程进行了比较。尽管因AAA进行的择期手术有所增加,但AAA破裂导致的死亡仍是一个日益严重的问题,CEA作为一项看似合理的手术,其合理性已受到广泛讨论,因下肢缺血进行的手术约占血管外科医生工作量的50%。