Feldman A J, Nevonen M, Berguer R
Surg Gynecol Obstet. 1982 Feb;154(2):238-40.
Ten patients with severe infrapopliteal arterial occlusive disease at the time of our evaluation underwent 11 vein bypasses confined to the below-knee segment. Previous reconstruction of the femoral and proximal popliteal arteries had been done in three limbs and were all patent at the time we performed the distal bypass. Eight limbs had minimal or no occlusive disease in the femoral and popliteal arteries and had no previous proximal arterial reconstruction. Tissue loss or rest pain was the indication for operation in all patients. There were no deaths. Two grafts occluded within 24 hours. Seven have remained patent from two to 48 months. Arteriography, including complete evaluation of the pedal vasculature, is needed to select these patients properly. Vein bypass grafts limited to the below-knee segment may be a useful alternative in selected patients to the more traditional femoroinfrapopliteal bypass grafts.
在我们进行评估时，10例患有严重腘动脉以下动脉闭塞性疾病的患者接受了11次仅限于膝下节段的静脉搭桥手术。其中3条肢体先前已对股动脉和腘动脉近端进行了重建，在我们进行远端搭桥手术时这些血管均保持通畅。另外8条肢体的股动脉和腘动脉闭塞性疾病轻微或无闭塞性疾病，且先前未进行过近端动脉重建。所有患者的手术指征均为组织缺损或静息痛。无一例死亡。2条移植物在24小时内闭塞。7条移植物在2至48个月内保持通畅。需要进行动脉造影，包括对足部血管系统进行全面评估，以正确选择这些患者。对于部分患者，仅限于膝下节段的静脉搭桥移植物可能是比传统股腘动脉搭桥移植物更有用的替代方案。
