Franke F, Gall F P
Zentralbl Chir. 1978;103(4):206-12.
Femoro-crural revascularisation was performed in 132 operations in 126 patients. In 85.6% of these cases the operation was indicated because stage-III or stage-IV ischaemia was present. The necessity for surgery is determined by radiography of one artery of the lower extremity; in 31 of these patients it was necessary to perform a direct femoral puncture or an exploratory vascular operation followed by angiography. The authors' policy was to perform orthotopic reconstruction with autogenous vein grafts. In isolated cases a ring clearance or a prosthesis was used in the thigh region. Immediate patency was obtained in 93.9%. Of these operations, 120 were seen as follow-up; 78.3% of the bypasses were still patent, there was occlusion in 15 cases, and amputation was necessary in 11. Long-term results (2 to 9 years after the operation) were good in 64.4%.
126例患者接受了132次股腘血管重建手术。其中85.6%的病例因存在III期或IV期缺血而进行手术。手术必要性通过下肢一条动脉的造影来确定；在这些患者中，有31例需要进行股动脉直接穿刺或探索性血管手术，随后进行血管造影。作者的策略是使用自体静脉移植物进行原位重建。在个别情况下，大腿区域使用了环形清除术或假体。即刻通畅率为93.9%。在这些手术中，120例进行了随访；78.3%的旁路仍保持通畅，15例发生闭塞，11例需要截肢。长期结果（术后2至9年）良好率为64.4%。
