Kempczinski R, Penn I
Am J Surg. 1978 Aug;136(2):209-11. doi: 10.1016/0002-9610(78)90229-5.
Four patients sustained five upper extremity complications after axillobifemoral grafting including brachial plexus injuries, axillary artery thrombosis, and arterial steal. To avoid these problems, the following precautions are recommended: (1) proper positioning of the patient to prevent hyperabduction of the shoulder; (2) adequate exposure of the axillary artery during dissection and gentle handling of the nerve trunks; (3) meticulous technic during construction of the proximal anastomosis and avoidance of undue tension on the graft; and (4) careful preoperative assessment of the axillary-subclavian artery as a potential donor vessel.
4例患者在腋股动脉搭桥术后出现了5例上肢并发症，包括臂丛神经损伤、腋动脉血栓形成和动脉窃血。为避免这些问题，建议采取以下预防措施：（1）患者体位合适，防止肩部过度外展；（2）解剖过程中充分暴露腋动脉，并轻柔处理神经干；（3）近端吻合口构建过程中技术精细，避免移植物承受过度张力；（4）术前仔细评估腋-锁骨下动脉作为潜在供体血管的情况。
