Peer R M, Upson J F
Department of Surgery, State University of New York, Buffalo General Hospital.
J Cardiovasc Surg (Torino). 1990 Nov-Dec;31(6):735-8.
We have obtained long term follow-up on 58 patients in whom the superficial femoral artery was used as a donor site for bypass to the proximal popliteal artery. The indication for the reconstructive procedure was intermittent claudication 36%, rest pain 34%, and gangrene 26%. All patients had angiographic evidence of a patent proximal superficial femoral artery and many had relative indications for short bypass such as limited saphenous vein availability or compromised medical condition. There was a cumulative patency rate of 79% by life table method for the series with a six year follow-up. We have observed that the superficial femoral artery is a satisfactory inflow site for proximal popliteal bypass grafts in selected patients. The procedure can maximize use of a limited segment of vein with minimal operative time and morbidity. Inflow stenosis can be revised or long bypass procedures can be offered in the event of graft failure.
我们对58例使用股浅动脉作为供体部位进行腘动脉近端搭桥术的患者进行了长期随访。重建手术的指征为间歇性跛行（36%）、静息痛（34%）和坏疽（26%）。所有患者血管造影显示股浅动脉近端通畅，许多患者有行短段搭桥的相对指征，如大隐静脉可用长度有限或身体状况不佳。通过寿命表法对该系列患者进行6年随访，累积通畅率为79%。我们观察到，对于选定的患者，股浅动脉是腘动脉近端搭桥移植物的理想流入部位。该手术可以在最短的手术时间和最低的发病率情况下最大限度地利用有限长度的静脉。如果移植物失败，可以修正流入道狭窄或采用长段搭桥手术。
