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使用旋股外侧动脉作为流出道血管进行成功的交叉旁路移植术以治疗严重肢体缺血的间接血运重建：一例报告

Successful Crossover Bypass Using a Lateral Femoral Circumflex Artery as an Outflow Vessel for Indirect Revascularization in Critical Limb Ischemia: A Case Report.

作者信息

Akiyoshi Kei, Arakawa Mamoru, Matsumoto Harunobu, Adachi Koichi, Nakata Hiroko

机构信息

Department of Cardiovascular Surgery, Yokosuka Uwamachi Hospital, Yokosuka, Kanagawa, Japan.

Department of Vascular Surgery, Saitama Medical University Hospital, Saitama, Saitama, Japan.

出版信息

Ann Vasc Dis. 2022 Dec 25;15(4):333-336. doi: 10.3400/avd.cr.22-00059.

DOI:10.3400/avd.cr.22-00059
PMID:36644271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9816025/
Abstract

A 78-year-old man presented with severe stage 3 (Fontaine IV, Rutherford 5, W1 I3 FI0) right limb ischemia. Although his artery was completely occluded from below the right external iliac to the popliteal artery, collateral circulation from the right lateral femoral circumflex artery was well developed and supplied the lower extremity arteries. We selected an uncommon crossover bypass strategy with the left common femoral artery to the right lateral femoral circumflex artery to improve lower extremity perfusion via indirect revascularization. Bypass using the lateral femoral circumflex artery as an outflow is an option for patients with major lower extremity artery occlusions.

摘要

一名78岁男性患者出现严重的3期（Fontaine IV级、Rutherford 5级、W1 I3 FI0）右下肢缺血。尽管其动脉从右髂外动脉以下至腘动脉完全闭塞，但右股外侧旋动脉的侧支循环发育良好，并为下肢动脉供血。我们选择了一种不常见的交叉旁路策略，即从左股总动脉至右股外侧旋动脉，通过间接血运重建来改善下肢灌注。对于主要下肢动脉闭塞的患者，使用股外侧旋动脉作为流出道进行旁路手术是一种选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf8b/9816025/158f3b218876/avd-15-4-cr.22-00059-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf8b/9816025/5ff23b79d032/avd-15-4-cr.22-00059-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf8b/9816025/c7ef4e97977e/avd-15-4-cr.22-00059-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf8b/9816025/158f3b218876/avd-15-4-cr.22-00059-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf8b/9816025/5ff23b79d032/avd-15-4-cr.22-00059-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf8b/9816025/c7ef4e97977e/avd-15-4-cr.22-00059-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf8b/9816025/158f3b218876/avd-15-4-cr.22-00059-figure03.jpg

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本文引用的文献

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