Papoian S A, Abramov I S, Maĭtesian D A, Verigo A V, Eremenko A G, Baldin V L, Kirsanov Iu K
Angiol Sosud Khir. 2012;18(2):138-41.
Reflected in the article is experience in treating a total of 24 patients suffering from lower limb chronic ischaemia and diagnosed as having concomitant lesions of the aortofemoral and femoropopliteal segments, with a total of 24 hybrid operations performed. Of these, nineteen interventions consisted of implanting a stent graft into iliac arteries and revascularization of the femoropopliteal segment, whereas the remaining five cases included balloon angioplasty of the iliac artery with revascularization of the femoropopliteal segment. Good immediate outcomes were obtained in 23 patients. The ankle-brachial index increased averagely from 0.38 to 0.88. The remote outcomes (from 12 months to 5 years) were followed up in fifteen patients. Cumulative patency of the bypass grafts after 1, 3 and 5 years amounted to 78%, 41.5% and 41.5%, respectively. The cumulative survival rates after 1, 3 and 5 years equalled 90.8%, 76.2% and 76.2%, respectively. All extremities were eventually spared, with the long-term limb salvage rate thus amounting to 100%.
本文反映了治疗24例下肢慢性缺血患者的经验，这些患者被诊断为同时患有主-股动脉和股-腘动脉段病变，并进行了24例杂交手术。其中，19例手术包括在髂动脉植入支架型人工血管并对股-腘动脉段进行血运重建，而其余5例包括对髂动脉进行球囊血管成形术并对股-腘动脉段进行血运重建。23例患者获得了良好的即刻效果。踝肱指数平均从0.38提高到0.88。对15例患者进行了远期随访（12个月至5年）。旁路移植血管1年、3年和5年的累积通畅率分别为78%、41.5%和41.5%。1年、3年和5年的累积生存率分别为90.8%、76.2%和76.2%。所有肢体最终均得以保全，长期肢体保全率达100%。
