Pokrovskiĭ A V, Dan V N, Karazeev G L
Grud Serdechnososudistaia Khir. 1993(2):16-9.
Diagnostic aspects for false aneurysms of distal anastomoses between the prostheses and femoral arteries were studied by examining 31 patients aged 25 to 75 years who had undergone aortofemoral reconstructive operations. The cause of primary operations was atherosclerotic occlusive lesions of the arteries in 26 (83.8%) patients, non-specific aortoarteritis in 3 (9.6%) and injury in 2 (6.6%) patients. All the patients had previously undergone reconstructive operations on the aortofemoral area. The site of false aneurysms was the following: the common iliac artery in 3, the common femoral artery in 41 and the superficial femoral artery in 1 patient. Various techniques, such as ultrasonic and radiopaque aortographies were found to be of high informative value. The hemodynamic significance of false anastomotic aneurysms that can deteriorate regional circulation in the lower extremity was proved.
通过检查31例年龄在25至75岁之间接受过主动脉股动脉重建手术的患者，研究了假体与股动脉之间远端吻合口假性动脉瘤的诊断方面。初次手术的原因是：26例（83.8%）患者为动脉粥样硬化闭塞性病变，3例（9.6%）为非特异性主动脉动脉炎，2例（6.6%）为外伤。所有患者此前均接受过主动脉股动脉区域的重建手术。假性动脉瘤的部位如下：3例位于髂总动脉，41例位于股总动脉，1例位于股浅动脉。发现各种技术，如超声和不透射线主动脉造影，具有很高的信息价值。证实了假性吻合口动脉瘤可使下肢局部循环恶化的血流动力学意义。
