Reichle F A, Rankin K P, Shuman C R
Diabetes Care. 1979 Sep-Oct;2(5):396-400. doi: 10.2337/diacare.2.5.396.
Initial and long-term limb salvage can be achieved by infrapopliteal bypass in diabetic patients with ischemic necrosis of the distal extremity. Mortality is low in all groups, and mortality of subsequent amputation apparently is not affected by the previous bypass. An adequate arteriogram and consideration of distal bypass are frequently indicated in the diabetic patients in whom ischemic necrosis is present. Limb salvage may be feasible even in those diabetic patients in whom popliteal artery is not patent on preoperative arteriogram by bypasses to anterior tibial, posterior tibial, or peroneal artery.
对于患有远端肢体缺血性坏死的糖尿病患者，通过腘下动脉搭桥术可实现初期和长期的肢体挽救。所有组别的死亡率都很低，后续截肢的死亡率显然不受先前搭桥术的影响。对于存在缺血性坏死的糖尿病患者，通常需要进行充分的动脉造影并考虑远端搭桥术。即使在术前动脉造影显示腘动脉不通畅的糖尿病患者中，通过搭桥至胫前动脉、胫后动脉或腓动脉，肢体挽救也可能是可行的。
