Steck P, Stirnemann P
Universitätsklinik für Thorax-, Herz- und Gefässchirurgie, Inselspital, Bern.
Schweiz Med Wochenschr. 1990 Jun 16;120(24):894-7.
The autologous vein bypass is the graft material of choice in the treatment of lower extremity ischemia. Since 1982 we have inserted a femoro-popliteal or femoro-distal vein bypass to avert a threat to a lower limb (clinical stage III or IV) in 88 patients. In the follow-up of one to maximum 60 months, 36 patients died. Five grafts occluded. Five legs had to be amputated, 3 after failed reconstruction and 2 in spite of functioning bypass. The cumulative 5-year patency amounted to 93% (life-table analysis). In the vast majority autologous vein bypass graft can avert the imminent threat of amputation.
自体静脉搭桥术是治疗下肢缺血的首选移植材料。自1982年以来，我们为88例患者进行了股腘或股远端静脉搭桥术，以避免下肢受到威胁（临床III期或IV期）。在1至60个月的随访中，36例患者死亡。5条移植血管闭塞。5条腿不得不截肢，3条是重建失败后截肢，2条是尽管搭桥血管功能良好仍截肢。5年累积通畅率为93%（寿命表分析）。绝大多数自体静脉搭桥术能够避免即将面临的截肢威胁。
