Bengoechea E, Cuesta M A, Doblas M
Surgery. 1986 May;99(5):537-48.
It has been 8 years since Le Veen et al. described a new method of disobliteration of the distal aorta and iliac arteries. Since then no further reports have appeared in the literature. During the past 2 1/2 years we have treated 23 patients with severe ischemia of the lower limbs, caused in most cases by severe and multilevel arterial occlusions (types II and III), which included the infrarenal aorta, common and external iliac arteries, and common femoral arteries, with the method of Le Veen et al. with some modifications in the technique. A satisfactory revascularization was obtained in all patients. Similarly, there were no operative deaths or morbidity and no early or late arterial occlusions. We conclude that this method of arterial disobliteration has certain advantages over the much more widely used bypass grafting, deserves an extensive trial, and could in the future become a well-accepted procedure to treat extensive occlusions of the distal aorta, common and external iliac arteries, and common femoral arteries.
自勒文等人描述了一种使远端主动脉和髂动脉再通的新方法以来，已经过去了8年。从那时起，文献中就没有进一步的报道了。在过去的两年半里，我们用勒文等人的方法，并对技术做了一些改进，治疗了23例下肢严重缺血的患者，这些患者大多数是由严重的多级动脉闭塞（II型和III型）引起的，闭塞部位包括肾下腹主动脉、髂总动脉、髂外动脉和股总动脉。所有患者均获得了满意的血管再通。同样，没有手术死亡或发病率，也没有早期或晚期动脉闭塞。我们得出结论，这种动脉再通方法与应用更为广泛的旁路移植术相比具有某些优势，值得广泛试验，并且将来可能会成为治疗远端主动脉、髂总动脉、髂外动脉和股总动脉广泛闭塞的一种被广泛接受的手术方法。
