Archie J P
Wake Medical Center, Raleigh, North Carolina.
Am Surg. 1988 Mar;54(3):167-8.
Acute early postoperative femoral-distal bypass graft failure associated with profound lower extremity ischemia is unusual because early graft failure commonly reverts leg circulation to the preoperative status. Two cases are reported where the etiology of profound early postoperative ischemia and graft failure were not due to technical aspects of graft reconstruction itself but rather to vascular clamp injury to a severely atherosclerotic common femoral artery with early postoperative common femoral artery, profunda femoris artery and graft thrombosis. This event requires immediate recognition and common femoral artery reconstruction for limb salvage.
急性早期术后股-远端旁路移植失败伴严重下肢缺血并不常见，因为早期移植失败通常会使腿部循环恢复到术前状态。本文报告了两例病例，术后早期严重缺血和移植失败的病因并非移植重建本身的技术问题，而是血管夹对严重动脉粥样硬化的股总动脉造成损伤，导致术后早期股总动脉、股深动脉和移植血管血栓形成。这种情况需要立即识别，并进行股总动脉重建以挽救肢体。
