Gold J P, Cohen J, Shemin R J, DiSesa V J, Couch N, Cohn L H, Collins J J, Mannick J A, Whittemore A
J Vasc Surg. 1986 Feb;3(2):351-4.
This study reports our experience with 10 patients who underwent the emergent construction of a femorofemoral bypass graft to salvage an acutely ischemic lower extremity following the insertion of a transfemoral intra-aortic balloon pump catheter. All patients had excellent resolution of the ischemia and salvage of the extremity. Half of the procedures were done at the bedside with the remainder performed in the operating room. No long-term infections or ischemic sequelae resulted from the procedures in the nine patients available for long-term follow-up. The use of femorofemoral bypass grafting is, therefore, recommended in patients with severe ipsilateral limb ischemia who are dependent on an intra-aortic balloon pump to prevent extremity tissue loss as well as the systemic metabolic manifestations of ongoing tissue ischemia and necrosis. Patient selection, technical considerations, and postoperative management are discussed.
本研究报告了我们对10例患者的治疗经验，这些患者在插入经股动脉主动脉内球囊泵导管后，接受了股-股旁路移植术的紧急构建，以挽救急性缺血的下肢。所有患者的缺血情况均得到了极佳的缓解，肢体得以挽救。一半的手术在床边进行，其余的在手术室进行。在可进行长期随访的9例患者中，手术未导致长期感染或缺血后遗症。因此，对于严重同侧肢体缺血且依赖主动脉内球囊泵以防止肢体组织丢失以及持续组织缺血和坏死的全身代谢表现的患者，建议使用股-股旁路移植术。本文还讨论了患者选择、技术要点及术后管理。
