Bonardelli Stefano, Nodari Franco, De Lucia Maurizio, Cervi Edoardo, Giulini Stefano Maria
Department of Surgery, University of Brescia, Brescia, Italy.
Vascular. 2012 Dec;20(6):306-10. doi: 10.1258/vasc.2011.tn0018. Epub 2012 Sep 27.
The crossover femoro-femoral bypass, classically used for the treatment of unilateral iliac arterial obstruction, has recently become an integral part of aorto-uni-iliac endovascular aneurysm repair. We therefore, reconsider the therapeutic problems related to thrombosis and in particular to infection of the femoro-femoral prosthesis, when many attempts have been made to preserve the bypass and treat the infection. Showing a case treated and well eight months later, we put forward the old technique of crossover ilio-iliac bypass, followed by the removal of the infected femoro-femoral graft. In our opinion, this technique circumvents the need for autologous tissue and allows for the use of prosthetics in a new, sterile, uncontaminated field. As this approach for these cases has so far not been reported in the literature, further cases and long-term follow-up are needed.
交叉股-股旁路移植术，传统上用于治疗单侧髂动脉阻塞，最近已成为主动脉-单侧-髂动脉腔内动脉瘤修复的一个组成部分。因此，当人们多次尝试保留旁路并治疗感染时，我们重新审视了与血栓形成相关的治疗问题，特别是与股-股假体感染相关的问题。展示了一例经治疗8个月后恢复良好的病例，我们提出了交叉髂-髂旁路移植术的旧技术，随后移除感染的股-股移植物。我们认为，该技术避免了对自体组织的需求，并允许在新的、无菌的、未受污染的区域使用假体。由于迄今为止文献中尚未报道针对这些病例的这种方法，因此需要更多病例和长期随访。
