Stouthandel R, Stierli P
Chirurgische Klinik, Kantonsspital Aarau.
Helv Chir Acta. 1993 Sep;60(1-2):149-51.
In patients with critical limb ischemia and patent pedal arteries as a single outflow source the surgeon has to decide between primary amputation and reconstruction. From 1989 to 1991 we performed 80 infrainguinal reconstructions, 13 of them to pedal arteries. In all cases we used autogenous vein material from different sources, if possible as an in situ conduit. The perioperative mortality was 0%. After 24 months the limb salvage was 92%. The secondary cumulative patency rate was 92% after 12, 74% after 24 months. In a selected group of patients we prefer arterial reconstruction to pedal arteries instead of a primary amputation.
在以单一流出道来源的足部动脉通畅的严重肢体缺血患者中，外科医生必须在一期截肢和重建之间做出决定。1989年至1991年，我们进行了80例腹股沟下重建手术，其中13例是针对足部动脉的。在所有病例中，我们尽可能使用来自不同来源的自体静脉材料作为原位管道。围手术期死亡率为0%。24个月后肢体挽救率为92%。12个月时二次累积通畅率为92%，24个月时为74%。在一组选定的患者中，我们更倾向于对足部动脉进行动脉重建而不是一期截肢。
