股静脉移植物在下肢动脉旁路手术中的应用经验。
Experience with femoral vein grafts for infra-inguinal bypass.
机构信息
Department of Vascular Surgery, ABM University Health Board, Morriston Hospital, Swansea SA6 6NL, United Kingdom.
出版信息
Eur J Vasc Endovasc Surg. 2011 May;41(5):676-8. doi: 10.1016/j.ejvs.2011.01.016. Epub 2011 Feb 16.
INTRODUCTION
Prosthetic grafts are used for infra-inguinal bypass when autogenous veins, are inadequate but have poorer patency and greater risk of graft infection. We report the use of femoro-popliteal vein (FPV) for such cases.
REPORT
FPV was used in 20 infra-inguinal bypasses (14 combined with other veins). 11 were primary and 9 secondary reconstructions, involving 13 femoro-tibial and 7 femoro-popliteal bypasses. Mean follow up was 78 months. At one year, limb salvage was 83%, primary patency 61%, primary assisted patency 73% and secondary patency 78%.
CONCLUSION
FPV is an acceptable conduit for infra-inguinal bypass when other vein sources are inadequate.
引言
当自体静脉不足时，会使用假体移植物进行下肢旁路手术，但假体移植物的通畅性较差，感染风险较高。我们报告了使用股-腘静脉（FPV）的案例。
报告
在 20 例下肢旁路手术中（14 例与其他静脉联合使用）使用了 FPV。其中 11 例为原发性，9 例为继发性重建，涉及 13 例股-胫旁路和 7 例股-腘旁路。平均随访时间为 78 个月。1 年时，肢体存活率为 83%，原发性通畅率为 61%，原发性辅助通畅率为 73%，继发性通畅率为 78%。
结论
当其他静脉源不足时，FPV 是下肢旁路手术的一种可接受的移植物。
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