Wexels J C, Storvik H M
Tidsskr Nor Laegeforen. 1989 Apr 30;109(12):1271-2.
We present the results of 26 consecutive patients operated because of rest pain or threatened loss of limb. The great saphenous vein was used in situ as femoro-tibial arterial bypass. Destruction of the vein valves was performed using an intraluminal valve cutter mounted on a fogarty catheter. Three bypasses occluded during the observation period which lasted for 24 +/- seven months (mean +/- standard deviation). Seven patients died from heart disease. Our results indicate that one should not hesitate to perform surgery on patients with rest pain or gangrene. The in situ method used in the present study seems to be the technique of choice in treating these patients.
我们展示了26例因静息痛或肢体有丧失危险而接受手术的连续患者的结果。大隐静脉原位用于股胫动脉搭桥术。使用安装在福格蒂导管上的腔内瓣膜切割器破坏静脉瓣膜。在为期24±7个月（平均±标准差）的观察期内，有3条搭桥血管闭塞。7例患者死于心脏病。我们的结果表明，对于有静息痛或坏疽的患者，应毫不犹豫地进行手术。本研究中使用的原位方法似乎是治疗这些患者的首选技术。
