Tricot J F
Nouv Presse Med. 1979;8(32):2617-20.
Certain types of threatening leg ischaemia are difficult to treat when there is a combination of obstruction at three levels: superficial femoral, popliteal and leg, leaving as the only distal vascular network a short segment of upper popliteal artery, "suspended" between several collaterals and a distal leg artery. Classical techniques come up against problems in terms of revascularisation ("suspended" popliteal or leg), surgical material and the flow rate in the graft. The technique suggested here uses the devalved great saphenous vein left in place to revascularise succesively, "sequentially", the 2 permeable arterial levels. The main advantages are the absence of any prosthesis, an increase in flow and improved haemodynamics of the arrangement, and the double level of revascularisation.
当存在三个部位的阻塞（股浅动脉、腘动脉和小腿动脉）合并时，某些类型的威胁性下肢缺血很难治疗，仅留下一小段腘动脉上段作为唯一的远端血管网络，该段血管“悬浮”于几条侧支血管和一条小腿远端动脉之间。传统技术在血运重建（“悬浮”的腘动脉或小腿动脉）、手术材料和移植物中的血流速度方面都遇到了问题。本文提出的技术利用原位保留的去瓣大隐静脉依次对两个可渗透的动脉水平进行血运重建，即“顺序性”血运重建。主要优点是无需任何假体，血流量增加，该布局的血流动力学得到改善，以及实现了双重血运重建水平。
