Rainey J B, Smith R C, Jenkins A M
Ann R Coll Surg Engl. 1982 Jul;64(4):247-9.
Twenty patients with widespread occlusive vascular disease received sequential bypass grafts for lower-limb salvage. In 16 patients an isolated common femoral or profunda segment was perfused by a proximal graft and run-off was augmented by femoropopliteal bypass. In 4 a femoropopliteal bypass constituted the proximal component perfusing an isolated popliteal segment, run-off being increased by a popliteal-to-tibial graft. Dacron, expanded polytetrafluoroethylene (PTFE) (Gore-Tex), and autogenous vein grafts were used. The mean period of follow-up was 10.6 +/- 7 months and 70% of the limbs were salvaged. Thirteen graft systems remain currently patent, 4 have thrombosed, 2 patients died with patent grafts, and 1 required amputation despite graft patency.
20例患有广泛闭塞性血管疾病的患者接受了序贯旁路移植术以挽救下肢。16例患者中，近端移植物灌注孤立的股总动脉或股深动脉段，股腘动脉旁路术增加下肢血流。4例患者中，股腘动脉旁路术作为近端部分灌注孤立的腘动脉段，腘胫动脉移植物增加下肢血流。使用了涤纶、膨体聚四氟乙烯（PTFE，戈尔特斯）和自体静脉移植物。平均随访时间为10.6±7个月，70%的肢体得以挽救。目前13个移植系统仍保持通畅，4个发生血栓形成，2例患者在移植物通畅的情况下死亡，1例尽管移植物通畅仍需截肢。
