Stabile B E, Wilson S E
Arch Surg. 1977 Aug;112(8):913-8. doi: 10.1001/archsurg.1977.01370080011001.
The profunda femoris artery can be used for the origin of a femoropopliteal bypass in cases of previous aorto femoral bypass graft, short saphenous vein, and other less common conditions that render the common femoral artery unsuitable for proximal anastomosis. Fourteen profunda-popliteal bypass procedures were performed in 12 patients between 1973 and 1976. The indications for surgery were incapacitating claudication in seven, and rest pain or tissue necrosis in five patients. Electromagnetic flow measurements at operation in ten patients indicated a mean graft blood flow of 146 +/- 51 ml/min. The mean Doppler ankle/wrist pressure ratio improved from 0.48 +/- 0.11 preoperatively to 0.87 +/- 0.14 postoperatively, while the plethysmographic mean pulse volume increased from 1.1 +/- 0.6 microliter to 2.4 +/- 0.4 microliter. Thirteen of the 14 grafts remain patient at one to three years' follow-up. The profunda-popiteal bypass is an effective alternative to standard femoropopliteal bypass in cases where the common femoral artery is not available for proximal graft anastomosis.
在先前进行过主-股动脉搭桥移植术、小隐静脉病变以及其他使股总动脉不适合近端吻合的少见情况下，股深动脉可用于股-腘动脉搭桥的起始部位。1973年至1976年间，对12例患者实施了14例股深-腘动脉搭桥手术。手术指征为7例患者有严重间歇性跛行，5例患者有静息痛或组织坏死。10例患者术中进行的电磁血流测量显示，移植血管平均血流量为146±51毫升/分钟。平均多普勒踝/腕压力比值从术前的0.48±0.11提高到术后的0.87±0.14，同时体积描记法测得的平均脉搏容积从1.1±0.6微升增加到2.4±0.4微升。14例移植血管中有13例在1至3年的随访期内保持通畅。在股总动脉无法用于近端移植血管吻合的情况下，股深-腘动脉搭桥是标准股-腘动脉搭桥的一种有效替代方法。
