Berguer R, Cotton L T, Sabri S
Br Med J. 1973 Feb 24;1(5851):469-71. doi: 10.1136/bmj.1.5851.469.
At present reconstructive arterial surgery for atherosclerotic disease below the level of the inguinal ligament is restricted to femoropopliteal bypass grafts. We have found a new operation, which we call extended deep femoral angioplasty, to be effective not only in some cases where bypass is possible but also in many cases where it is impossible because of a poor run-off, lack of a suitable vein, or even when a bypass has failed. In a consecutively treated group of 34 patients operative reconstruction was limited to the deep femoral artery and a success rate of 65% was achieved. Most gratifying was the saving of a leg in eight patients in whom bypass was impossible.
目前,针对腹股沟韧带以下的动脉粥样硬化疾病进行的重建性动脉手术仅限于股腘动脉搭桥术。我们发现了一种新的手术方法,我们称之为扩大的股深动脉血管成形术,它不仅在某些可行搭桥手术的病例中有效,而且在许多因远端血管床不佳、缺乏合适的静脉甚至搭桥手术失败而无法进行搭桥的病例中也有效。在一组连续接受治疗的34例患者中,手术重建仅限于股深动脉,成功率达到65%。最令人欣慰的是,有8例无法进行搭桥手术的患者保住了下肢。