Watelet J, Leturgie C, Tenière P, Testart J
J Chir (Paris). 1980 Sep;117(8-9):475-80.
A "suspended" popliteal artery (S.P.A.) constitutes one of the most pejorative anatomical forms for atheromatous lesions of the lower limbs, as obliteration of the superficial femoral artery is often associated with atheromatous lesions in the tibial arteries, making them inaccessible to arterial reconstruction. Operations have been conducted on 5 cases (14 patients) over a period of 3 years. The average age of the patients was 71.6 years and the average follow-up period was 13 months. In each case operation was required to avoid amputation. Venous material was used for the shunt in 10 cases, while 5 had composite (n = 3) or prosthetic (n = 2) material. Postoperative mortality was nul, but 28% died by the end of the first year. Thrombosis occurred in 3 cases, at the 2nd, 7th, and 9th month respectively (actuarial permeability rate after 1 year: 72%), and 4 patients had high amputations (leg: 3, thigh: 1) in spite of permeability of the shunt is two cases (actuarial conservation rate of the limbs after 1 year: 67.5%). An analysis of the results of these 15 cases and those rare series reported in the published literature, enables definition of the indications for revascularization of an S.P.A.
“悬吊”腘动脉（S.P.A.）是下肢动脉粥样硬化病变最糟糕的解剖形式之一，因为股浅动脉闭塞常伴有胫动脉的动脉粥样硬化病变，使得动脉重建难以进行。在3年时间里对5例（14名患者）进行了手术。患者的平均年龄为71.6岁，平均随访期为13个月。每例患者均需手术以避免截肢。10例患者分流采用静脉材料，5例采用复合（n = 3）或人工（n = 2）材料。术后死亡率为零，但到第一年末有28%的患者死亡。3例发生血栓形成，分别在第2、7和9个月（1年后的实际通畅率：72%），尽管有2例分流通畅，但仍有4例患者进行了高位截肢（小腿：3例，大腿：1例）（1年后肢体的实际保留率：67.5%）。对这15例患者的结果以及已发表文献中报道的那些罕见系列病例进行分析，有助于明确“悬吊”腘动脉血运重建的适应证。
