Vercellio G, Castelli P, Coletti M, Carlesi R, Agrifoglio G
Int Surg. 1986 Jan-Mar;71(1):59-61.
In the seventies atherosclerotic femoropopliteal lesions were extensively treated by means of retrograde semiclosed thromboendarterectomy (FP-TEA) an analytic follow-up of cases, until 1980, induced the modification of the indications to FP-TEA. Currently the FP-TEA technique is only employed for patients at the 2nd Fontaine's stage with disabling claudication (generally less than 100 mt) with a good distal run-off (at least 2 tibial vessels patent). The report deals with a series of 595 cases operated in the period January 1971-December 1984. In 45% of cases FP-TEA was associated with a proximal revascularization. In an attempt to focus on the factors that may influence the outcome, the patients operated in 1976, 1980, 1984, were assessed and the results related to clinical stage, angiographic pattern and postoperative treatment.
在20世纪70年代，动脉粥样硬化性股腘病变通过逆行半封闭血栓内膜切除术（FP - TEA）得到广泛治疗。对病例进行的分析随访一直持续到1980年，这促使了FP - TEA适应症的改变。目前，FP - TEA技术仅用于处于Fontaine二期、有致残性间歇性跛行（一般行走距离小于100米）且远端血流良好（至少2条胫血管通畅）的患者。本报告涉及1971年1月至1984年12月期间手术治疗的595例患者。在45%的病例中，FP - TEA与近端血管重建术联合使用。为了关注可能影响治疗结果的因素，对1976年、1980年、1984年接受手术的患者进行了评估，并将结果与临床分期、血管造影模式及术后治疗相关联。
