Banz M, Stierli P, Aeberhard P
Chirurgische Klinik, Kantonsspital Aarau.
Vasa. 1995;24(3):253-7.
From May 1990 to April 1994 we performed 24 arterial reconstructions to pedal arteries in 23 patients. There were 12 women (52%) and 11 men (48%) suffering from chronic critical ischemia of the lower extremities. The 30 day-mortality was 9%. 3 early graft thromboses had to be corrected. This was successful in two cases, but failed in one case, making below knee amputation in this patient necessary. Another leg with a patent graft had to have a below-knee amputation due to persistent foot infection. Secondary procedures to correct graft stenoses were performed in 8 legs (33%). All patients entered a prospective surveillance program to study primary (64% at 12 months) and primary assisted patency rates (81% at 24 months). Limb salvage rate was 90% at 24 months. We think that reconstructions to pedal arteries are worthwhile in properly selected patients. Limbs can be salvaged in a high percentage improving quality of live considerably.
1990年5月至1994年4月，我们对23例患者的足部动脉进行了24次动脉重建手术。其中有12名女性（52%）和11名男性（48%）患有下肢慢性严重缺血。30天死亡率为9%。有3例早期移植血管血栓形成需要处理。2例处理成功，但1例失败，该患者不得不进行膝下截肢。另一例移植血管通畅的下肢因持续性足部感染也不得不进行膝下截肢。8条腿（33%）进行了纠正移植血管狭窄的二次手术。所有患者都进入了一个前瞻性监测项目，以研究一期通畅率（12个月时为64%）和一期辅助通畅率（24个月时为81%）。24个月时肢体 salvage率为90%。我们认为，对于经过适当选择的患者，足部动脉重建是值得的。可以挽救很高比例的肢体，显著提高生活质量。 （注：salvage此处可能有误，结合语境推测可能是“挽救、保全”之意，若为“生存率”等其他含义需根据更多背景信息确定，这里暂按推测翻译）
