Rhodes G R, Buchbinder D
Am Surg. 1985 Feb;51(2):70-6.
This report summarizes early results with saphenous vein bypass (SVB) utilizing both sequential and in-situ techniques (SIS SVB) in eight limbs requiring limb salvage. SIS SVB was performed to a variety of vessel combinations using "Y" graft, continuous, or vein extension techniques achieving early patency in all limbs, despite pedal arch disease. Postoperatively, there was a significant increase in ankle/brachial Doppler indices (ABI) (P less than 0.001) at dorsal pedal (0.23-0.88) and at posterior tibial (0.32-0.91). Successful isolated popliteal grafting was confirmed by return of phasic Doppler wave forms. All but one limb healed with minimal tissue loss within 1 month of bypass. Preoperative high resolution angiography and clinical Doppler evaluation of saphenous vein anatomy are mandatory to determine candidacy for SIS SVB.
本报告总结了在8例需要保肢的肢体中使用序贯和原位技术（SIS SVB）进行隐静脉搭桥（SVB）的早期结果。采用“Y”形移植、连续或静脉延长技术对各种血管组合进行SIS SVB，尽管存在足弓疾病，但所有肢体均实现了早期通畅。术后，足背（0.23 - 0.88）和胫后（0.32 - 0.91）的踝/肱多普勒指数（ABI）显著增加（P小于0.001）。通过搏动性多普勒波形的恢复证实了成功的单纯腘动脉移植。除1例肢体外，所有肢体在搭桥后1个月内均愈合，组织损失最小。术前必须进行高分辨率血管造影和隐静脉解剖的临床多普勒评估，以确定SIS SVB的适应证。
