Rasmussen L B, Jelnes R, Sager P
Ann Chir Gynaecol. 1986;75(1):20-2.
In a series of 38 consecutive patients with advanced peripheral vascular disease (i.e. rest pain) reconstructive vascular surgery was performed with the distal anastomosis below the knee. Ankle/arm pressure index (AAI) was 0.28 (0.11-0.47) preoperatively; accumulated graft patency rate was 0.47 (SD = 0.08) after one year, after three years 0.22 (SD = 0.08). At follow-up (June 83) 34 patients were still alive, 11 patients with patent grafts and an AAI of 0.87 (0.74-1.01). During the study 19 patients required amputation. Seven patients had an occluded graft, but had avoided amputation. Although the prognosis in regard to graft patency is poor, we still suggest that distal vascular surgery should be considered prior to primary amputation.
在一系列连续的38例晚期外周血管疾病（即静息痛）患者中，实施了膝下远端吻合的血管重建手术。术前踝/臂压力指数（AAI）为0.28（0.11 - 0.47）；一年后移植血管累积通畅率为0.47（标准差= 0.08），三年后为0.22（标准差= 0.08）。在随访时（1983年6月），34例患者仍存活，11例患者的移植血管通畅，AAI为0.87（0.74 - 1.01）。在研究期间，19例患者需要截肢。7例患者移植血管闭塞，但避免了截肢。尽管移植血管通畅的预后较差，但我们仍建议在初次截肢前应考虑远端血管手术。
