Laurian C, Janneau D, Lagneau P, Cormier J M
J Mal Vasc. 1981;6(2):85-8.
Reparative surgery of an iliac axis was conducted on 35 patients with atheromatous aorto-iliac lesions, and was completed by a contralateral shunt as an "alternative" between a prosthesis and a bifemoro-aortic thromboendarteriectomy. Reconstructive surgery on the donor axis included a thromboendarteriectomy alone or combined with a venous graft in 31 cases, an aorto-femoral vein graft in 3 cases, and an external iliac angioplasty in 1 case. The contralateral shunt was by a vein graft in 29 patients, and a prosthesis in the other 6 cases. Two complications occurred, one due to progression of the atheromatous lesions on the unobstructed aorto-iliac axis, the other being related to fibrous stenosis of a crossed vein graft. Post-operative follow-up over periods ranging from 6 months to 6 years confirmed the good vascular prognosis.
对35例患有动脉粥样硬化性主-髂动脉病变的患者进行了髂动脉轴修复手术，并通过对侧分流术作为假体与双股-主动脉血栓内膜切除术之间的“替代方案”完成手术。供体轴的重建手术包括31例单纯血栓内膜切除术或联合静脉移植、3例主动脉-股静脉移植以及1例髂外血管成形术。29例患者通过静脉移植进行对侧分流，另外6例使用假体。发生了2例并发症，1例是由于未阻塞的主-髂动脉轴上动脉粥样硬化病变进展，另1例与交叉静脉移植的纤维性狭窄有关。术后6个月至6年的随访证实了良好的血管预后。
