Belov Iu V, Stepanenko A B, Gens A P, Baiandin N L
Khirurgiia (Mosk). 1995(6):3-5.
The paper presents the authors' experience in surgically treating aortic occlusions in 325 patients. A total of 275 reparative operations were made from 1978 to 1991. The authors proposed their own classification of aortic occlusions in terms of pathomorphological changes in the aorta and hence offered types of reparative operations and choice of surgical access. In extensive arterial lesions in the femoropopliteal area in combination with high aortic occlusion, the authors recommend that "two-story" reconstructions should be performed by including the distal arterial bed into blood flow. The intraoperative mortality was 1.4%.
本文介绍了作者对325例主动脉闭塞症患者进行外科治疗的经验。1978年至1991年共进行了275例修复手术。作者根据主动脉的病理形态学变化提出了自己的主动脉闭塞分类方法,从而给出了修复手术的类型及手术入路的选择。对于股腘动脉区域广泛的动脉病变合并高位主动脉闭塞的情况,作者建议通过将远端动脉床纳入血流来进行“两层”重建。术中死亡率为1.4%。