Dörrler J, Maurer P C, Bonke S
MMW Munch Med Wochenschr. 1981 Apr 17;123(16):653-7.
In vascular diseases in which standardized methods cannot be applied in spite of clear indication, operative treatment is problematic. In the meantime, "extra-anatomic bypasses" have proved useful, being implantable also in patients with high operative risk. The surgical mortality in these patients is about 4% after implantation of an axillo-femoral bypass. The preoperative condition is improved by the extraanatomical bypass, a threatened extremity being retained in about 80%. The late results show a patency rate of 38% and are therefore far below those of the standardized procedure. The results of the femoro-femoral cross-over bypass are better here. The late results in this case with a patency rate of ca. 80% are only slightly worse than with the standard methods. The results of the "extrathoracal bypasses" with a patency rate after 5 years of 92% and a mortality of 0% is more favorable. This is the method of choice.
在尽管有明确指征但仍无法应用标准化方法的血管疾病中，手术治疗存在问题。与此同时，“解剖外旁路术”已被证明是有用的，也可用于手术风险高的患者。在植入腋-股旁路后，这些患者的手术死亡率约为4%。解剖外旁路可改善术前状况，约80%的濒危肢体得以保留。后期结果显示通畅率为38%，因此远低于标准化手术的通畅率。在此处，股-股交叉旁路的结果更好。在这种情况下，后期结果的通畅率约为80%，仅略逊于标准方法。“胸外旁路术”5年后的通畅率为92%，死亡率为0%，结果更有利。这是首选方法。
