Connolly J E, Kwaan J H, Brownell D, McCart P M, Levine E
Surg Gynecol Obstet. 1984 May;158(5):415-8.
We have analyzed our eight year experience with more than 200 instances of extra-anatomic bypass and have made certain observations. Extra-anatomic bypass provides an acceptable alternative to extensive direct intra-abdominal and intrathoracic vascular reconstructive procedures. This is particularly true in high risk patients and in the presence of infection. While axillobifemoral bypass is widely known and used, other types of extra-anatomic bypass are emphasized. These are axillary-axillary, axillopopliteal, axillotibial and axillofemoral bypass under local anesthesia. Technical factors, such as the type of graft, the course of the bypass and ancillary techniques to improve the long term patency, are also discussed herein.
我们分析了200多例解剖外旁路手术的八年经验，并得出了一些观察结果。解剖外旁路手术为广泛的直接腹腔内和胸腔内血管重建手术提供了一种可接受的替代方案。在高危患者和存在感染的情况下尤其如此。虽然腋股旁路手术广为人知且应用广泛，但本文强调了其他类型的解剖外旁路手术。这些手术包括腋腋旁路、腋腘旁路、腋胫旁路以及局部麻醉下的腋股旁路。本文还讨论了技术因素，如移植物类型、旁路路径以及提高长期通畅率的辅助技术。
