Pietri P, Pancrazio F, Cosulich D, Sichel L, Andolfato G, Campanelli G
Minerva Med. 1986 Nov 10;77(42-43):1965-72.
The main complications deriving from the use of vascular prostheses in the surgical reconstruction of the arteries are thrombosis, infection and the appearance of pseudoaneurysms. Among 233 aorto-femoral b.p., prosthetic thrombosis occurred in 45 patients creating the need for 66 reoperations, 19 early and 47 tardive. In 387 aorto-iliac reconstructions, infection arose early in 11 cases, tardively in 6. Out of 1118 vascular reconstructions there were also 28 pseudoaneurysms (2.5%). After remarks on the aetiopathogenesis of such complications, methods that can be used to prevent them are discussed and personal results of treatment are presented.
在动脉外科重建中使用血管假体所产生的主要并发症是血栓形成、感染和假性动脉瘤的出现。在233例主-股动脉搭桥手术中,45例患者发生假体血栓形成,需要进行66次再次手术,其中19次为早期手术,47次为晚期手术。在387例主-髂动脉重建手术中,11例早期发生感染,6例晚期发生感染。在1118例血管重建手术中,也有28例假性动脉瘤(2.5%)。在阐述这些并发症的病因发病机制后,讨论了可用于预防它们的方法,并展示了个人治疗结果。