Van Damme H, Creemers E, Dekoster G, Legrand M, Albert A, Limet R
Clinique Chirurgicale A, Hôpital Universitaire de Bavière, Liège.
Acta Chir Belg. 1988 Mar-Apr;88(2):111-9.
Polyvascular patients. Among a consecutive series of 4200 patients submitted to vascular surgery, a group of 292 people operated on, in at least two anatomically and physiologically different sites, is individualized as polyvascular patients. A subgroup is characterized by simultaneous procedures in two separated fields; 32 have benefited in the same time from carotid and coronary procedures, i.e., 0.6% of all coronary patients and 2% of all carotid patients. The carotid-coronary group exhibited a more severe anatomical disease both in the carotid and the coronary vasculatures. Apart from simultaneously operated patients, others were sequentially treated over a 7 years period: people with carotid (25%) or visceral (40%) arterial disease were more prone to become polyvascular. Polyvascular patients differ from monovascular patients in that hypertension is more frequent and more severe, mean cholesterol level higher and incidence of severe hypercholesterolemia more frequent.
多血管病变患者。在连续接受血管手术的4200例患者中，一组292例患者在至少两个解剖学和生理学上不同的部位接受了手术，被确定为多血管病变患者。一个亚组的特点是在两个分开的区域同时进行手术；32例患者同时接受了颈动脉和冠状动脉手术，即占所有冠状动脉患者的0.6%和所有颈动脉患者的2%。颈动脉-冠状动脉组在颈动脉和冠状动脉血管系统中均表现出更严重的解剖学病变。除了同时进行手术的患者外，其他患者在7年期间接受了序贯治疗：患有颈动脉疾病（25%）或内脏动脉疾病（40%）的患者更容易成为多血管病变患者。多血管病变患者与单血管病变患者的不同之处在于，高血压更常见且更严重，平均胆固醇水平更高，严重高胆固醇血症的发生率更频繁。
