Rutherford R B
Department of Surgery, University of Colorado Health Sciences Center, Denver.
Semin Vasc Surg. 1994 Mar;7(1):11-6.
The controversies that surround the technical aspects of transabdominal reconstruction for aortoiliac occlusive disease, and more specifically ABF, have provided lively debates during the golden era of vascular surgery. It seems almost a pity that, with the resolution of many of these issues, what has become one of the most effective and durable procedures that vascular surgeons have to offer has been beset by PTA and stents on the one side, and a resurgence of extra-anatomic bypass on the other. Hopefully, the coming era of outcome assessment and cost-benefit analysis, coupled with continued advances in perioperative care, will sustain it in its rightful position, as the procedure of choice for bilateral aortoiliac occlusive disease.
围绕腹主动脉重建治疗主髂动脉闭塞性疾病（尤其是腋股旁路移植术）技术方面的争议，在血管外科的黄金时代引发了激烈的辩论。令人遗憾的是，随着其中许多问题的解决，血管外科医生所能提供的最有效且持久的手术之一，一方面受到经皮腔内血管成形术（PTA）和支架的困扰，另一方面又面临解剖外旁路移植术的复兴。有望在即将到来的结果评估和成本效益分析时代，再加上围手术期护理的持续进步，使其能保持其应有的地位，成为双侧主髂动脉闭塞性疾病的首选手术。
