Salerno T A, Ayeni D R, Blundell P E, Chiu R C
Can J Surg. 1978 Mar;21(2):112-3.
Twenty-seven femorofemoral bypasses were performed in 25 patients with severe arteriosclerosis obliterans affecting the iliofemoral arteries. The series comprised 16 men and 9 women, aged 51 to 80 years. Nineteen patients were poor-risk cases with severe cardiorespiratory disease. Twenty-one patients had undergone vascular procedures previously without success. The operation was carried out: (a) as the primary procedure for very poor-risk patients in an attempt to salvage a limb, (b) to deal with unilateral limb occlusion of an aortoiliac--femoral prosthesis, or (c) as management of infected prosthetic grafts. Fourteen Dacron grafts and 13 saphenous veins were used for the bypasses. There were no operative deaths. Twenty-two patients were clinically improved, two required amputation later and one patient was lost to follow-up. Four patients, including three with preexisting graft infection, had wound infections that cleared with drainage and antibiotics. No other major complications occurred in this group of poor-risk patients. Femorofemoral bypass is safe and provides the surgeon with a useful method of revascularizing the limbs of selected patients.
对25例患有严重动脉硬化闭塞症累及髂股动脉的患者实施了27次股-股动脉搭桥术。该组患者包括16名男性和9名女性，年龄在51至80岁之间。19例患者属于高危病例，患有严重的心肺疾病。21例患者此前曾接受血管手术但未成功。手术实施的情况如下：(a) 作为挽救肢体的主要手术，用于风险极高的患者；(b) 处理主动脉髂股-股动脉假体的单侧肢体闭塞；或(c) 用于治疗感染的人工血管。14例使用涤纶移植物，13例使用大隐静脉进行搭桥。无手术死亡病例。22例患者临床症状改善，2例后来需要截肢，1例失访。4例患者，包括3例术前已有移植物感染的患者，发生了伤口感染，经引流和抗生素治疗后痊愈。该组高危患者未发生其他重大并发症。股-股动脉搭桥术是安全的，为外科医生提供了一种使选定患者肢体血管再通的有效方法。
