Simon H, Fairbank J T
Am J Surg. 1977 Apr;133(4):447-52. doi: 10.1016/0002-9610(77)90129-5.
Complete evaluation of the aortoiliac femoropopliteal system is necessary for the proper evaluation of lower extremity peripheal vascular ischemic disease. We have used a modified infrarenal translumbar approach since it is both safely and rapidly performed. An analysis of 212 consecutive cases (the last 182 with translumbar technic) revealed that 72 per cent of patients had significant atherosclerotic involvement of the aorta or one or more common or external iliac arteries, 43 per cent had significant bilateral involvement, and it was judged that retrograde femoral catheterization would have been difficult or impossible in 38 per cent. Biplane aortoiliac evaluation was added in our last seventy-nine studies. This provided additional diagnostic help in thirty-six of these cases and revealed an abnormality not otherwise visible in six of these patients. There were no serious complications in this series.
对腹主动脉-髂动脉-股动脉-腘动脉系统进行全面评估对于正确评估下肢周围血管缺血性疾病是必要的。我们采用了改良的肾下经腰途径，因为该操作既安全又迅速。对连续212例病例（最后182例采用经腰技术）的分析显示，72%的患者主动脉或一条或多条髂总动脉或髂外动脉有明显的动脉粥样硬化累及，43%的患者双侧有明显累及，并且判断逆行股动脉插管在38%的患者中会困难或无法进行。在我们最后的79项研究中增加了双平面腹主动脉-髂动脉评估。这在其中36例病例中提供了额外的诊断帮助，并在其中6例患者中发现了其他方式不可见的异常。该系列中没有严重并发症。
