Balas P, Bastounis E, Koustas G
First Department of Surgery, University of Athens, Greece.
Int Surg. 1988 Oct-Dec;73(4):221-6.
The current indications to and long-term results of the femoropopliteal by-passes are analysed. The absolute indication is critical ischaemia with rest pain or trophic change i.e. ulcers and gangrene. The most important factor influencing the long-term results is the nature of the graft per se. The indications, arteriographic run-off, site of anastomosis, earlier femoropopliteal operations all exert a major influence on the late results, particularly prosthetic grafts are used. The results indicate the need for more prospective studies with careful monitoring of different variants in order to better understand the role of the femoropopliteal by-pass in the palliation of infra-inguinal atherosclerotic occlusive disease.
分析了股腘动脉旁路移植术的当前适应证及长期结果。绝对适应证是伴有静息痛或营养改变（即溃疡和坏疽）的严重缺血。影响长期结果的最重要因素是移植物本身的性质。适应证、动脉造影流出道、吻合部位、既往股腘动脉手术均对晚期结果有重大影响，尤其是在使用人工血管移植物时。结果表明需要进行更多的前瞻性研究，并对不同变量进行仔细监测，以便更好地了解股腘动脉旁路移植术在缓解腹股沟下动脉粥样硬化闭塞性疾病中的作用。
