Lescalie F, Chevalier J M, Enon B, Moreau P, Pillet J
J Mal Vasc. 1983;8(4):335-42.
Sub-crural bypass operations on a single leg artery were analysed retrospectively with a follow-up period ranging from six months to eight years. The vitality of the limb was threatened in the majority of cases (91/96). Whenever possible (79/96) the internal saphenous vein was used as a graft, preferably by the in situ technique. Mortality was 6%. Morbidity with the exception of thromboses was 14.5%. Patency by actuarial analysis was 71.6% at 5 years and 65.8% beyond. The majority of thromboses occurred during the first few months and led, in the majority of cases, to amputation. Secondary thromboses were better tolerated. The influence of various parameters was studied: clinical stage, peroperative flowmeter results, material used, technique, associated procedure (sympathectomy), implantation site and permeable vessel.
对单条腿部动脉进行的股下旁路手术进行了回顾性分析,随访期为6个月至8年。大多数病例(91/96)肢体活力受到威胁。只要有可能(79/96),就使用大隐静脉作为移植物,最好采用原位技术。死亡率为6%。除血栓形成外,发病率为14.5%。经精算分析,5年时通畅率为71.6%,5年后为65.8%。大多数血栓形成发生在最初几个月,并且在大多数情况下导致截肢。继发性血栓形成的耐受性较好。研究了各种参数的影响:临床分期、术中流量计结果、使用的材料、技术、相关手术(交感神经切除术)、植入部位和可渗透血管。