Tchirkow G, Beven E G
Ann Surg. 1978 Aug;188(2):166-70. doi: 10.1097/00000658-197808000-00007.
Resection of an abdominal aortic aneurysm was associated with intraoperative or postoperative leg ischemia in seven of 100 consecutive survivors of this procedure. Distal embolization of thrombus and debris is the apparent cause in the majority of cases (six). One case of stenosis at a graft-to-vessel anastomosis was identified. Early (intraoperative) thromboembolectomy averted tissue loss in four cases. The role of concurrent lumbar sympathectomy in ameliorating ischemic tissue loss is evaluated. Postaneurysmectomy leg ischemia may accompany other serious complications, particularly hypotension and renal failure.
在连续100例接受腹主动脉瘤切除手术的幸存者中，有7例出现术中或术后腿部缺血。在大多数病例（6例）中，血栓和碎片的远端栓塞是明显原因。发现1例移植物与血管吻合处狭窄。早期（术中）血栓切除术避免了4例组织损失。评估了同期腰交感神经切除术在改善缺血性组织损失中的作用。动脉瘤切除术后腿部缺血可能伴有其他严重并发症，尤其是低血压和肾衰竭。
