Benhamou A C, Kieffer E, Tricot J F, Maraval M, Le Thoai M, Natali J
J Cardiovasc Surg (Torino). 1984 Mar-Apr;25(2):118-25.
Experience of late failures of Dacron aortofemoral grafts is presented; about 70 cases observed during the past eight years on whom 105 subsequent operations were performed. One third of these patients were first operated upon by another surgical team. During the same period, 850 patients were submitted to reconstructive surgery of the abdominal aorta and iliac arteries either for atherosclerotic or for aneurysmal disease. It appears that conservative procedures like thrombectomy of the occluded limb are often insufficient, impossible, inappropriate or dangerous, even after restoration of a good deep femoral outflow. On the other hand, aggressive restoration of limbflow is generally necessary, with other various and ingenious direct or indirect reconstructive techniques for restitution of a good inflow and outflow. These techniques are usually successful (85%) and gain time against the major etiology of these late failures viz the development of atherosclerotic disease.
本文介绍了涤纶人工血管腹主动脉-股动脉旁路移植术后远期失败的经验；在过去八年中观察到约70例患者，对其进行了105次后续手术。其中三分之一的患者首次手术由其他外科团队进行。同期，850例患者因动脉粥样硬化或动脉瘤疾病接受了腹主动脉和髂动脉重建手术。似乎诸如对闭塞肢体进行血栓切除术等保守手术往往不足、无法实施、不合适或危险，即使在恢复了良好的股深动脉血流后也是如此。另一方面，积极恢复肢体血流通常是必要的，需要采用各种巧妙的直接或间接重建技术来恢复良好的流入和流出。这些技术通常是成功的（85%），并且相对于这些远期失败的主要病因即动脉粥样硬化疾病的发展而言，赢得了时间。
