Kessler A R, Mulherin J L, Edwards W H
South Med J. 1984 Feb;77(2):155-8. doi: 10.1097/00007611-198402000-00004.
Vascular surgeons often suggest that combining renal arterial procedures with aortic replacement greatly increases morbidity and mortality. To evaluate this hypothesis we retrospectively reviewed 102 consecutive primary operations involving both renal arterial and aortic reconstruction. The patient population included 69 men and 33 women with an average age of 63 years. All aortic replacements were knitted Dacron grafts. One hundred twenty-eight renal arteries were revascularized with 104 vein or synthetic aortorenal bypass grafts, 12 arterial reimplantations, and three endarterectomies with vein patch. Thirty-five complications occurred in 24 patients with four hospital deaths. Postoperative hospitalization averaged less than 11 days. This study suggests that under optimal conditions renal arterial and aortic reconstructions can be combined without significantly increasing patient risk.
血管外科医生常常认为，将肾动脉手术与主动脉置换术相结合会大幅增加发病率和死亡率。为评估这一假设，我们回顾性分析了连续102例同时涉及肾动脉和主动脉重建的初次手术。患者群体包括69名男性和33名女性，平均年龄63岁。所有主动脉置换均采用针织涤纶移植物。128条肾动脉通过104条静脉或人工合成的主动脉-肾动脉旁路移植物、12次动脉再植术以及3次带静脉补片的动脉内膜切除术实现血运重建。24例患者出现35种并发症，4例患者死于医院。术后平均住院时间不到11天。本研究表明，在最佳条件下，肾动脉和主动脉重建术可联合进行，而不会显著增加患者风险。
