Buchbinder D, Pasch A R, Rollins D L, Dillon B C, Douglas D J, Schuler J J, Flanigan D P
Arch Surg. 1986 Jun;121(6):673-7. doi: 10.1001/archsurg.1986.01400060067009.
Sixty-five patients with critical ischemia required bypass to foot vessels. These procedures were performed by five different techniques: (1) femoral-foot bypass with in situ saphenous vein; (2) femoral-foot bypass with reversed autogenous saphenous vein; (3) femoral-foot bypass with polytetrafluoroethylene (PTFE); (4) popliteal-foot bypass with reversed autogenous saphenous vein; and (5) popliteal-foot bypass with PTFE. The two-year patency rate of femoral-foot bypass with in situ vein (96%) was significantly higher than femoral-foot bypass with reversed vein (42%), while both procedures demonstrated significantly higher patency than femoral-foot bypass with PTFE (0%). Popliteal-foot bypass with reversed vein (92%) was superior to both popliteal-foot bypass with PTFE (27%) and femoral-foot bypass with PTFE (0%). Femoral-foot bypass with in situ vein and popliteal-foot bypass with reversed vein have appreciably increased vein utilization, graft patency, and limb salvage.
65例严重缺血患者需要进行足部血管搭桥手术。这些手术采用了五种不同的技术：（1）原位大隐静脉股-足部搭桥；（2）自体大隐静脉倒置股-足部搭桥；（3）聚四氟乙烯（PTFE）股-足部搭桥；（4）自体大隐静脉倒置腘-足部搭桥；（5）PTFE腘-足部搭桥。原位静脉股-足部搭桥的两年通畅率（96%）显著高于倒置静脉股-足部搭桥（42%），而这两种手术的通畅率均显著高于PTFE股-足部搭桥（0%）。倒置静脉腘-足部搭桥（92%）优于PTFE腘-足部搭桥（27%）和PTFE股-足部搭桥（0%）。原位静脉股-足部搭桥和倒置静脉腘-足部搭桥显著提高了静脉利用率、移植物通畅率和肢体挽救率。
