Wagemann W, Heinrich P, Hoffmann P
Zentralbl Chir. 1981;106(20):1360-8.
218 patients who underwent subintimal dissection were followed up over a period of 21/2 years. The results (72,6% patients at the end of 21/2 years) come up to those of the saphenous vein bypass. the rate of secondary amputations (7.21%) is low, the primary mortality rate comes up to 2.75%. In our opinion thrombendarterectomy has satisfactory late results. In the author's opinion chronic arterial occlusion of the femoro-popliteal region should surgically be treated first of all by thrombendarterectomy. This enables the surgeon to perform an autogenous venous bypass procedure in case of relapse.
218例行内膜下剥离术的患者接受了为期两年半的随访。结果(两年半结束时72.6%的患者)与隐静脉搭桥术的结果相当。二次截肢率(7.21%)较低,原发性死亡率为2.75%。我们认为血栓内膜切除术有令人满意的远期效果。作者认为,股腘动脉区域的慢性动脉闭塞首先应通过血栓内膜切除术进行外科治疗。这使得外科医生在复发时能够进行自体静脉搭桥手术。