Lysenko E R, Azarian A S, Griaznov O G, Amirova A V, Bushueva E V, Troitskiĭ A V
Federal Clinical Centre for High Medical Technologies under the Federal Medical and Biological Agency of the Russian Federation, Novogorsk, Russia; Department of Cardiovascular Surgery, Institute of Postgraduate Professional Education, Federal Medical Biophysical Centre named after A.I. Burnazyan under the Federal Medical and Biological Agency of the Russian Federation, Moscow, Russia.
Federal Clinical Centre for High Medical Technologies under the Federal Medical and Biological Agency of the Russian Federation, Novogorsk, Russia.
Angiol Sosud Khir. 2018;24(2):172-177.
The purpose of this study was to analyse the results of hybrid loop endarterectomy from the superficial femoral artery (SFA) in its occlusion, preformed in a total of forty-two patients. Of these, 27 patients had prior to the intervention been diagnosed with stage II B ischaemia and 15 patients had been diagnosed as having critical ischaemia. Technical success of the operation amounted to 88%, with the frequency of early thromboses equalling 2.7%. In the early postoperative period, one patient died of acute myocardial infarction. The 1-, 2- and 3-year remote cumulative primary patency rate amounted to 81, 74 and 74%, respectively. There were no amputations performed within the timeframe of the follow-up period. The technique of hybrid loop endarterectomy with the MultiTASC loop followed by stenting of the proximal portion of the popliteal artery in occlusion of the SFA and stenoses of the common femoral artery has proved to be a highly efficient intervention yielding good immediate and remote results.
本研究的目的是分析对42例股浅动脉（SFA）闭塞患者实施杂交袢式动脉内膜切除术的结果。其中，27例患者在干预前被诊断为II B期缺血，15例患者被诊断为严重缺血。手术的技术成功率为88%，早期血栓形成的发生率为2.7%。术后早期，1例患者死于急性心肌梗死。1年、2年和3年的远期累积原发性通畅率分别为81%、74%和74%。在随访期内未进行截肢手术。对于SFA闭塞和股总动脉狭窄患者，采用MultiTASC袢式杂交动脉内膜切除术，随后对腘动脉近端进行支架置入术，已被证明是一种高效的干预措施，可产生良好的近期和远期效果。
