McCoy D M, Sawchuk A P, Schuler J J, Durham J R, Eldrup-Jorgensen J, Schwarcz T H, Meyer J P, Flanigan D P
Department of Surgery, University of Illinois College of Medicine, Chicago 60612.
Arch Surg. 1989 Apr;124(4):441-4. doi: 10.1001/archsurg.1989.01410040051011.
This study was undertaken to determine the efficacy and durability of profundaplasty and define preoperative factors predictive of success. The hospital charts, vascular laboratory data, and arteriograms of 20 patients having 21 isolated profundaplasties for ischemic rest pain between 1979 and 1987 were reviewed. Follow-up extended to 72 months (mean, 26 months). Early success was achieved in 12 extremities (57%) and life-table analysis showed continued success to six years in 11 extremities (55%). Of the multiple preoperative factors assessed, only a low-thigh/ankle gradient pressure index (TAGI) of less than 0.55 was predictive of success. Life-table analysis for limbs with a TAGI of less than 0.55 showed an 89% success rate at six years compared with only a 32% success rate for limbs with a TAGI of more than 0.55. Isolated profundaplasty for the treatment of ischemic rest pain can be an efficacious and durable procedure when patients are selected based on objective hemodynamic measurements.
本研究旨在确定股深动脉成形术的疗效和持久性，并明确预测手术成功的术前因素。回顾了1979年至1987年间20例因静息痛接受21次孤立性股深动脉成形术患者的医院病历、血管实验室数据和动脉造影片。随访时间延长至72个月（平均26个月）。12个肢体（57%）早期手术成功，生命表分析显示11个肢体（55%）至6年仍持续成功。在评估的多个术前因素中，只有大腿/踝部压力梯度指数（TAGI）低于0.55可预测手术成功。TAGI低于0.55的肢体生命表分析显示，6年成功率为89%，而TAGI高于0.55的肢体成功率仅为32%。当根据客观血流动力学测量结果选择患者时，孤立性股深动脉成形术治疗静息痛可成为一种有效且持久的手术方法。
