Watelet J, Testart J, Teniere P, Chamoun S, Ducable G
J Cardiovasc Surg (Torino). 1978 Jul-Aug;19(4):345-54.
Dealing with lower limbs arteriopathies with combined aorto iliac and superficial femoral occlusive diease and when ischemia leads to operation should an extension bypass to the popliteal or tibial artery be associated every time it is possible? The authors have investigated the results of revascularizing operation above the profunda femoris on 35 limbs (27 patients). On 19 limbs only, has the revascularization been sufficient to cure the distal ischemia. On the other 16 limbs, a second operation was necessary 7 times an extension bypass to the popliteal or tibial artery, once an above knee amputation, twic a below knee amputation. From the comparison of these results with the degree of ischemia and the arteriographic aspect of the profunda femoris, the author's conclusion is that revascularization must extent below the profunda femoris unless the profunda is in good condition and there is no rest ischemia.
对于合并主-髂动脉和股浅动脉闭塞性疾病的下肢动脉病变，当缺血导致需要手术时，每次只要有可能，是否都应进行延伸至腘动脉或胫动脉的搭桥术？作者对35条肢体（27例患者）进行了股深动脉上方血管重建手术的结果研究。仅在19条肢体上，血管重建足以治愈远端缺血。在另外16条肢体上，有7次需要二次手术，即延伸至腘动脉或胫动脉的搭桥术，1次为膝上截肢，2次为膝下截肢。通过将这些结果与缺血程度和股深动脉的血管造影表现进行比较，作者得出的结论是，除非股深动脉状况良好且不存在静息缺血，否则血管重建必须延伸至股深动脉以下。
