Rosenfeld J C, Savarese R P, Friedmann P, DeLaurentis D A
Arch Surg. 1981 Dec;116(12):1538-43. doi: 10.1001/archsurg.1981.01380240026004.
Since 1970, we have performed 33 sequential femoropopliteal bypass grafts (of 482 femoropopliteal bypasses [7%]) and 22 sequential femorotibial bypass grafts (of 153 femorotibial bypasses [14%]). Patients ranged in age from 51 to 90 years. Twenty-two (66%) of the sequential femoropopliteal bypass grafts, and all of the sequential femorotibial bypass grafts, were for limb salvage. By life table analysis, interval patency rates for both types of sequential procedures at 60 months, 72 months, and even longer are good (greater than 80% for both sequential femoropopliteal and sequential femorotibial bypasses). These two sequential bypasses are effective alternatives when the saphenous vein is inadequate. We assume that these results are due to excellent inflow (using a prosthetic graft proximally) and the use of a segment of autogenous saphenous vein over the knee joint.
自1970年以来，我们已进行了33例序贯股腘动脉搭桥术（占482例股腘动脉搭桥术的7%）和22例序贯股胫动脉搭桥术（占153例股胫动脉搭桥术的14%）。患者年龄在51岁至90岁之间。22例（66%）序贯股腘动脉搭桥术以及所有序贯股胫动脉搭桥术均用于肢体挽救。通过生命表分析，两种序贯手术在60个月、72个月甚至更长时间的间隔通畅率良好（序贯股腘动脉和序贯股胫动脉搭桥术均大于80%）。当隐静脉不足时，这两种序贯搭桥术是有效的替代方法。我们认为这些结果归因于良好的流入道（近端使用人工血管）以及在膝关节上方使用一段自体隐静脉。
