Kusaba A, Inokuchi K, Kamori M, Moriyama M, Furuyama M, Makino J
Jpn J Surg. 1980 Sep;10(3):238-44. doi: 10.1007/BF02468754.
We report a review of 215 reconstructions for aorto-iliac arterial occlusive lesions, involving 156 patients. At 13 years, the cumulative patency rate of 158 aorto-femoral or aorto-iliac dacron synthetic bypass prostheses was 71.6 per cent as compared to 52.7 per cent at 5 years for 22 blunt endarterectomies and 47.4 per cent at 6 years for 35 axillo-femoral bypass prostheses. Of the 158 synthetic bypass prostheses, the cumulative patency rate at 13 years was 85.1 per cent in cases with no occlusive involvement of the peripheral arteries, significantly higher (p less than 0.03) than the 39.3 per cent patency rate at 7 years in cases in which associated femoro-popliteal occlusive lesions were not treated. At 12 years, the patency rate was 53.2 per cent in cases in which associated femoro-popliteal occlusive lesions were treated during the same reconstructive intervention, i.e. markedly higher (p less than 0.08) than in patients in whom the degree of outflow in the distal vessels was poor. Our findings indicated that, in order to achieve a satisfactory long-term patency rate, it is important to treat associated occulusive lesions in the femoro-popliteal arteries.
我们报告了对215例主-髂动脉闭塞性病变重建手术的回顾，涉及156例患者。13年时，158例主-股或主-髂涤纶人工血管旁路移植术的累积通畅率为71.6%，相比之下，22例钝性动脉内膜切除术5年时的通畅率为52.7%，35例腋-股旁路移植术6年时的通畅率为47.4%。在158例人工血管旁路移植术中，外周动脉无闭塞累及的病例13年时的累积通畅率为85.1%，显著高于（p<0.03）未治疗相关股-腘动脉闭塞性病变的病例7年时39.3%的通畅率。12年时，在同一重建手术中治疗相关股-腘动脉闭塞性病变的病例通畅率为53.2%，即明显高于（p<0.08）远端血管流出道情况较差的患者。我们的研究结果表明，为了获得满意的长期通畅率，治疗股-腘动脉相关闭塞性病变很重要。
