Foster M C, Mikulin T, Hopkinson B R, Makin G S
Ann R Coll Surg Engl. 1986 Jul;68(4):216-8.
Extra-anatomic bypass grafting has been used as treatment for patients with aorto-iliac disease who were considered unfit for aortic surgery. Eighty five percent of the patients had ischaemic pain at rest or skin necrosis. One hundred and three femorofemoral (FF) grafts, 40 axillounifemoral and 12 axillobifemoral grafts were performed. Femoropopliteal extension grafts were performed in 39 cases. The three year cumulative graft patency rate was 69% for FF grafts and 48% for both types of axillofemoral (AF) graft, falling to 61% for FF grafts and 32% for AF grafts at five years. The long term patient survival rate was poor, particularly for AF grafts, 27% at five years, reflecting the poor general condition of these patients. In addition almost a quarter of AF grafts required declotting at some stage. However, worthwhile limb salvage rates were obtained with both types of grafts, 69% for FF and 72% for AF at three years and 61% for FF and 65% for AF at five years, suggesting that these grafts should be employed as a means of avoiding amputation in poor risk patients.
解剖外旁路移植术已被用于治疗被认为不适合进行主动脉手术的主-髂动脉疾病患者。85%的患者有静息性缺血性疼痛或皮肤坏死。共进行了103例股-股（FF）移植、40例腋-股单期移植和12例腋-股双期移植。39例进行了股-腘动脉延伸移植。FF移植的三年累积移植通畅率为69%，两种类型的腋-股（AF）移植为48%，五年时FF移植降至61%，AF移植降至32%。长期患者生存率较低，尤其是AF移植患者，五年时为27%，这反映了这些患者的总体状况较差。此外，近四分之一的AF移植在某个阶段需要清除血栓。然而，两种类型的移植均获得了可观的肢体挽救率，三年时FF移植为69%，AF移植为72%，五年时FF移植为61%，AF移植为65%，这表明这些移植应作为避免高危患者截肢的一种手段。
