Stavorovsky M, Iellin A
World J Surg. 1980;4(2):245-50. doi: 10.1007/BF02393590.
Most complications that appear within 5-6 weeks after femoropopliteal bypass (FPB) are associated with the surgical procedure in the groin. Destruction of lymphatic structures in the presence of an open foot infection and crushing of the intima by clamping the common and deep femoral arteries are significant predisposing factors in producing early infection or occlusion of the graft. To avoid these predisposing factors, a combined procedure of a short thromboendarterectomy of the proximal superficial femoral artery and an autogenous or prosthetic bypass graft was used, without application of clamps to the common and deep femora arteris. In a series of 45 patients, this combined procedure was used and a significant reduction of complications was achieved. Indications, technique, and advantages of this combined method are discussed.
大多数在股腘动脉搭桥术（FPB）后5至6周内出现的并发症与腹股沟区的手术操作有关。开放性足部感染时淋巴结构的破坏以及通过钳夹股总动脉和股深动脉导致内膜受压是导致移植物早期感染或闭塞的重要诱发因素。为避免这些诱发因素，采用了近端股浅动脉短段血栓内膜切除术与自体或人工血管搭桥术相结合的手术方法，且未对股总动脉和股深动脉进行钳夹。在一系列45例患者中采用了这种联合手术方法，并发症显著减少。本文讨论了这种联合方法的适应症、技术及优点。
