Corson J D, Hoballah J J
Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City 52242-1086, USA.
Semin Vasc Surg. 1995 Jun;8(2):155-62.
Most patients with aortic aneurysmal disease are well served by a routine inline bypass replacement procedure. Excellent results have been reported even in patients with significant medical comorbidities. However, occasionally very high-risk patients may benefit from nonresective aortic aneurysm exclusion treatment in association with an axillobifemoral bypass. In the future, endovascular techniques may supplant most conventional and nonresective techniques, thus allowing operative repair in patients who previously might have been rejected for surgical therapy due to multiple medical comorbidities.
大多数主动脉瘤疾病患者通过常规的原位旁路置换手术就能得到很好的治疗。即使是有严重内科合并症的患者，也有报道称手术效果极佳。然而，偶尔一些极高风险的患者可能会从与腋-双股旁路联合的非切除性主动脉瘤排除治疗中获益。未来，血管内技术可能会取代大多数传统和非切除性技术，从而使那些因多种内科合并症而之前可能被拒绝手术治疗的患者能够接受手术修复。
