Mellière D
J Chir (Paris). 1977;113(1):15-38.
Venous by pass of the femoro-popliteal axis is very useful in certain special indications. A study of 100 by pass operations with a follow up between 1 and 5 years showed the indications and technic. A study of secondary worsening and comparison between three attitudes: abstinence, restoratives reoperations and preventive reoperations showed the superiority of routine detection of asymptomatic lesions and their preventive treatment. In cases of thrombosis of the bypass, a study of the general condition will permit one to choose between abstinence and a complex treatment including successively thrombolysis and then surgical removal of the cause of the thrombosis.
股腘动脉轴的静脉旁路术在某些特殊适应症中非常有用。一项对100例旁路手术进行1至5年随访的研究显示了其适应症和技术。对继发性病情恶化以及三种处理方式(保守治疗、修复性再次手术和预防性再次手术)进行比较的研究表明,无症状病变的常规检测及其预防性治疗具有优越性。在旁路血栓形成的病例中,对一般情况的研究将有助于在保守治疗和包括依次进行溶栓然后手术去除血栓形成原因的综合治疗之间做出选择。