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涉及腹主动脉重建手术晚期失败的讨论与处理

Discussion and management of late failures in reconstructive procedures involving the abdominal aorta.

作者信息

Kanaly P J, Dilling E W, Robinson H B, Elkins R C

出版信息

Am J Surg. 1978 Dec;136(6):709-13. doi: 10.1016/0002-9610(78)90341-0.

DOI:10.1016/0002-9610(78)90341-0
PMID:717652
Abstract

Review of fifty-eight late failures of 326 procedures performed for revascularization of the abdominal aorta over the past six years showed a low overall operative mortality of 9 per cent. Secondary vascular procedures directed at the aorta itself or at its graft substitute proved more effective in relieving symptoms and restoring flow than did secondary procedures directed at more distal problems in the lower extremities. The aortofemoral graft in conjunction with profundaplasty proved to be the most effective means of restoring flow to the lower extermity after graft occlusion in a previous aortoiliac or aortofemoral graft.

摘要

回顾过去六年中为腹主动脉血管重建而实施的326例手术中的58例晚期失败病例,结果显示总体手术死亡率较低,为9%。针对主动脉本身或其移植替代物进行的二次血管手术,在缓解症状和恢复血流方面,比针对下肢更远端问题进行的二次手术更有效。在先前的主髂动脉或主股动脉移植术后移植血管闭塞的情况下,主股动脉移植联合股深动脉成形术被证明是恢复下肢血流的最有效方法。

相似文献

1
Discussion and management of late failures in reconstructive procedures involving the abdominal aorta.涉及腹主动脉重建手术晚期失败的讨论与处理
Am J Surg. 1978 Dec;136(6):709-13. doi: 10.1016/0002-9610(78)90341-0.
2
Early and late results of aortic and iliac reconstructive operations.主动脉及髂动脉重建手术的早期和晚期结果
J Cardiovasc Surg (Torino). 1972 Sep-Oct;13(5):454-8.
3
[The value of repeat aorto-arteriography following reconstructive surgery for atherosclerotic occlusions of the abdominal aorta and the arteries of the lower extremities].[腹主动脉及下肢动脉粥样硬化闭塞症重建手术后重复主动脉造影的价值]
Vestn Khir Im I I Grek. 1972 Aug;109(8):48-52.
4
Extensive aorto-ilio-femoral endarterectomy with LeVeen plaque cracker.采用LeVeen斑块破碎器进行广泛的主动脉-髂动脉-股动脉内膜切除术。
J Cardiovasc Surg (Torino). 1988 Jul-Aug;29(4):441-8.
5
[Simultaneous intervention on the carotid artery, abdominal aorta and their branches].
Zentralbl Chir. 1985;110(8):457-62.
6
Evaluation of endarterectomy for aortoiliac and aortoiliofemoral occlusive disease.主动脉髂动脉及主动脉髂股动脉闭塞性疾病的动脉内膜切除术评估
Arch Surg. 1975 Dec;110(12):1458-64. doi: 10.1001/archsurg.1975.01360180028006.
7
Reconstruction of the blocked aorta.阻塞性主动脉重建术。
Br J Hosp Med. 1977 Jul;18(1):69-78.
8
[Complications following reconstructive operations for occlusive aorto-iliac lesions].
Langenbecks Arch Chir. 1970;328(1):50-63. doi: 10.1007/BF01272545.
9
[Reconstructive surgery in arteriosclerotic occlusions of the abdominal aorta and iliac arteries].[腹主动脉和髂动脉动脉硬化闭塞症的重建手术]
Kardiologiia. 1988 Jun;28(6):55-7.
10
Aortoiliac reconstruction following renal transplantation.肾移植后的主髂动脉重建术。
Surgery. 1982 Apr;91(4):435-7.

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Outcomes after redo aortobifemoral bypass for aortoiliac occlusive disease.再次行主动脉-双侧股动脉旁路移植术治疗主髂动脉闭塞性疾病的结果。
J Vasc Surg. 2014 Aug;60(2):346-355.e1. doi: 10.1016/j.jvs.2014.02.002. Epub 2014 Mar 21.
2
Factors contributing to recurrent lower limb ischemia following bypass surgery for aortoiliac occlusive disease, and their management.腹主动脉髂动脉闭塞性疾病搭桥手术后导致下肢反复缺血的因素及其处理
Ann Surg. 1981 Mar;193(3):346-52. doi: 10.1097/00000658-198103000-00017.