Evstifeev L K, Sokolov A A, Zhuravskiĭ A L, Beliaeva G S
Vestn Khir Im I I Grek. 1986 Aug;137(8):59-63.
The article analyzes results of 95 operations in 71 patients with disturbed functions of the prosthesis implanted into the aorto-femoral segment. In thrombosis of the implanted prosthesis the authors prefer to fulfil thrombectomy with plasty of the distal anastomosis and the collateral with autotissues (a fragment of the vein or the non-functioning superficial femoral artery). Failure of thrombectomy from the prosthesis or recidivation of thrombus on the operative table should be considered as an indication for a substitution of the prosthesis. The results obtained in reoperations are very modest, but at present there is no alternative for an attempt to save not only the ischemic extremity but also the patient's life.
本文分析了71例主动脉-股动脉段植入假体功能障碍患者的95次手术结果。对于植入假体的血栓形成，作者倾向于进行血栓切除术，并对远端吻合口和自体组织（一段静脉或无功能的股浅动脉）的侧支进行整形。假体血栓切除术失败或手术台上血栓复发应被视为更换假体的指征。再次手术取得的结果不太理想，但目前为了挽救缺血肢体和患者生命，别无选择，只能尝试再次手术。
