LeVeen H H, Diaz C, Ip W M
Am J Surg. 1978 Aug;136(2):221-4. doi: 10.1016/0002-9610(78)90232-5.
Disobliteration of the aorta and iliac arteries through an extraperitoneal approach is described. An intimal guillotine (plaque cracker) is used to transect the intima of the unopened vessel. The intima is then milked down to a transverse arteriotomy in the left common iliac artery, through which all of the discarded intima is removed. Since the intima is dissected free before opening the vessels, blood loss is minimal. The procedure is rapid and requires only an average of 19 minutes of aortic cross clamping. Our operative mortality was 4.2 per cent and the long-term patency rate 75 per cent.
描述了一种经腹膜外途径进行主动脉和髂动脉再通的方法。使用内膜切断器（斑块破碎器）横断未切开血管的内膜。然后将内膜挤至左髂总动脉的横向动脉切口处，通过该切口将所有废弃的内膜清除。由于在打开血管之前先将内膜游离，故失血量极少。该手术操作迅速，平均仅需19分钟的主动脉交叉钳夹时间。我们的手术死亡率为4.2%，长期通畅率为75%。
