Gruss J D, Stojanovic R, Kuhn H
MMW Munch Med Wochenschr. 1976 Nov 19;118(47):1527-32.
Age and accumulation of risk factors in patients with arterial occlusive diseases in Fontaine's Stages III and IV do not always permit direct vascular reconstruction. A further indication for prosthetic bypass procedures is given by local infections following vascular surgical interventions, severe damage to soft parts after traumata and radiotherapy, and anus praeter in the pelvic region. In the supra-aortic region carotido-subclavian, subclavio-carotid and the carotido-carotid bypasses are already routine operations. The indications for axillo-femoral, carotido-femoral, femoro-femoral, iliaco-femoral and obturator bypasses are described and discussed with reference to our own experiences.
处于Fontaine分期III期和IV期的动脉闭塞性疾病患者，其年龄和危险因素的累积情况并不总是允许直接进行血管重建。血管外科手术后的局部感染、创伤和放疗后软组织的严重损伤以及盆腔区域的肛门异常，是人工血管旁路手术的进一步指征。在主动脉弓上区域，颈动脉-锁骨下动脉、锁骨下动脉-颈动脉和颈动脉-颈动脉旁路手术已经是常规手术。结合我们自己的经验，对腋-股、颈-股、股-股、髂-股和闭孔旁路手术的指征进行了描述和讨论。
