Jørgensen P E, Lundsgaard C, Jelnes R, Frimodt-Møller C
Ann Chir Gynaecol. 1986;75(3):155-9.
This study evaluates iliofemoral bypass reconstruction in limb-salvage, graft patency, and appearance of contralateral symptoms. The study included 62 consecutive iliofemoral bypass reconstructions during 1980-82. The indication for surgery was disabling intermittent claudication in 19% of the patients and severe ischaemia in 81%. At follow-up 42 patients were examined, 16 were dead and 4 were lost to follow-up. The primary mortality was 5%. At 3 years postoperatively the survival rate was 78%, ipsilateral limb-salvage 88%, graft patency 83%, and patency of the contralateral iliofemoral segment 92%. During the follow-up period reconstructive vascular surgery on the contralateral aortoiliac segment was performed in only 3 patients. The results of the iliofemoral bypass reconstruction in this study were comparable to the results of aortic bifurcation grafts, and the patency of the contralateral iliofemoral segment was higher than might have been expected. The iliofemoral bypass reconstruction seems to be useful for patients with unilateral affection of the iliofemoral segment, for limb-salvage concerning patients in poor general condition, and for patients who have had a contralateral amputation.
本研究评估了髂股动脉搭桥重建术在肢体挽救、移植物通畅率以及对侧症状表现方面的情况。该研究纳入了1980年至1982年间连续进行的62例髂股动脉搭桥重建术。手术指征为19%的患者存在致残性间歇性跛行，81%的患者存在严重缺血。随访时检查了42例患者，16例死亡，4例失访。主要死亡率为5%。术后3年生存率为78%，同侧肢体挽救率为88%，移植物通畅率为83%，对侧髂股段通畅率为92%。在随访期间，仅3例患者对侧主髂段进行了血管重建手术。本研究中髂股动脉搭桥重建术的结果与主动脉分叉移植术的结果相当，且对侧髂股段的通畅率高于预期。髂股动脉搭桥重建术似乎对单侧髂股段受累的患者、身体状况较差患者的肢体挽救以及对侧已截肢的患者有用。
