Shionoya S, Ban I, Nakata Y, Matsubara J, Hirai M, Kawai S
J Cardiovasc Surg (Torino). 1978 Jan-Feb;19(1):69-76.
Out of 216 patients with Buerger's disease, 14 showed the involvement of the iliac artery in addition to the occlusive lesion in the leg arteries. It occurred within 2 to 8 years after the onset of symptom. The obliterative lesion of the iliac artery might owe its cause to a direct proximal progression of thromboangitis obliterans of the femoral artery or to a skip progression of the disease. The skip lesion of the iliac artery might be due to an ascending progress of the thromboangiitic lesion in the branch arteries of the iliac artery. The indication for arterial reconstruction in the case with the involvement of the iliac artery depends on run-off in the deep femoral artery. Out of the 14 cases, 2 underwent thromboendarterectomy with autogenous vein patch grafting of the external iliac artery and 6 underwent bypass grafting, but their long-term follow-up result was poor.
在216例血栓闭塞性脉管炎患者中，14例除腿部动脉闭塞性病变外，还累及髂动脉。这种情况发生在症状出现后的2至8年内。髂动脉闭塞性病变的原因可能是股动脉血栓闭塞性脉管炎直接向近端发展，或者是疾病的跳跃式发展。髂动脉的跳跃性病变可能是由于髂动脉分支动脉血栓性血管病变的上行进展所致。髂动脉受累病例的动脉重建指征取决于股深动脉的血流情况。在这14例病例中，2例行血栓内膜切除术并自体静脉补片移植于髂外动脉，6例行旁路移植术，但长期随访结果不佳。
