Vollmar J F, Hamann H
Abteilung für Gefäss-, Thorax- und Herzchirurgie, Universität Ulm, Donau.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1989:593-7.
A triad procedure, i.e., aorto iliac inflow repair + profundaplasty + lumbar sympathectomy, offers a simple and effective approach for revascularisation in patients with multilevel arterial occlusive disease. Approximately 85% of the affected limbs at stage III-IV may return to a stage I or II. Only 10% require an additional distal bypass. Indications, technical aspects and late results are presented.
三联手术,即腹主动脉髂动脉血流重建术+股深动脉成形术+腰交感神经切除术,为多节段动脉闭塞性疾病患者的血管重建提供了一种简单有效的方法。在III-IV期,约85%的患肢可恢复到I或II期。仅10%的患者需要额外的远端旁路手术。本文介绍了手术适应症、技术要点及远期疗效。