Mellière D, Becquemin J P, Coubret P, Kassab M
Presse Med. 1986 Sep 6;15(28):1326-8.
In patients with severe ischaemia from femoro-popliteal thrombosis, but without suitable vein for bypass, a synthetic or bioprosthesis is usually installed. This is a costly method giving statistically mediocre results. An alternative method is femoro-popliteal endarterectomy performed with rings that are made to oscillate by a pneumatic motor. The procedure requires 3 arteriotomies: one at each end and one in-between to insert rings of a different caliber. Arteriography is mandatory at the end of the operation. This type of endarterectomy is feasible only when blood flow is adequate upstreams, when the femoro-popliteal axis is not calcified and when at least one artery of the leg remains patent. The method is less expensive, and its early results apparently better than those of prostheses extending beyond the knee.
对于因股腘静脉血栓形成而出现严重缺血但又没有合适静脉进行搭桥的患者，通常会植入合成材料或生物假体。这是一种成本高昂的方法，统计结果一般。另一种方法是使用由气动马达驱动使其振荡的环进行股腘动脉内膜切除术。该手术需要进行3次动脉切开术：两端各一次，中间一次以插入不同口径的环。手术结束时必须进行血管造影。这种类型的内膜切除术仅在血流上游充足、股腘轴未钙化且腿部至少有一条动脉保持通畅时才可行。该方法成本较低，其早期效果显然优于延伸至膝关节以下的假体。
