Lecointre B, Lefant D, Cardon A, Kerdiles Y
J Chir (Paris). 1986 Feb;123(2):96-101.
Results are reported after a mean follow up of 3 years (max: 8 years) of cross-over ilio- and femoro-femoral revascularizations performed in 50 patients for severe arterial disease of lower limbs. Mean age of the patients was 62 years. Operative mortality was nil and immediate permeability 98%. Five year actuarial curves showed a survival rate of 76%, and a permeability of 71% globally and of 85% in patients under 55 years of age. Limb conservation rate was 90% (amputations). Tolerance and reliability of these cross-over revascularizations are discussed, and precise details given of the anatomic and functional conditions of the donor limb that allow use of the method, the technique involved and the associated procedures on the donor arterial axis and the place of this cross-over type of surgery. It is concluded from analysis of the literature and the author's personal experience that ilio- or femoro-femoral bypass surgery is a well tolerated rational procedure. Its indication of choice is for iliac thromboses (arterial or prosthetic) in elderly patients exposed to the risk of an anatomic repair, but its use is also justified in young patients for aortic sparing by avoiding immediate performance of an aortofemoral revascularization.
对50例因严重下肢动脉疾病接受交叉髂股和股股血管重建术的患者进行平均3年（最长8年）的随访后报告结果。患者的平均年龄为62岁。手术死亡率为零，即刻通畅率为98%。五年精算曲线显示，总体生存率为76%，通畅率为71%，55岁以下患者的通畅率为85%。保肢率为90%（截肢率）。讨论了这些交叉血管重建术的耐受性和可靠性，并详细介绍了供体肢体的解剖和功能状况，这些状况允许使用该方法、所涉及的技术以及供体动脉轴上的相关操作和这种交叉类型手术的位置。根据文献分析和作者的个人经验得出结论，髂股或股股旁路手术是一种耐受性良好的合理手术。其首选适应症是有解剖修复风险的老年患者的髂动脉血栓形成（动脉性或人工血管性），但在年轻患者中，通过避免立即进行主股动脉血管重建术来保留主动脉，其应用也是合理的。
