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腋-双侧股动脉移植物是主动脉-双侧髂/股动脉移植物的有效替代物吗?:十年经验分析

Is axillo-bilateral femoral graft an effective substitute for aortic-bilateral iliac/femoral graft?: an analysis of ten years experience.

作者信息

Johnson W C, Logerfo F W, Vollman R W, Corson J D, O'Hara E T, Mannick J A, Nabseth D C

出版信息

Ann Surg. 1977 Aug;186(2):123-9. doi: 10.1097/00000658-197708000-00001.

Abstract

During the past ten years, 88 aorto-bilateral iliac/femoral grafts and 56 axillo-bilateral femoral grafts were electively performed for occlusive disease of the abdominal aorta or iliac vessels. The results of this retrospective study indicate that the axillo-bilateral femoral graft, although performed in an older population and more frequently for limb salvage, has a lower operative mortality than does conventional aortic bypass surgery with similar patency (76%) and survival (67%) at five years. However, axillo femoral grafting requires more frequent remedial surgery to obtain long term patency.

摘要

在过去十年中,针对腹主动脉或髂血管闭塞性疾病,选择性地进行了88例主动脉-双侧髂动脉/股动脉搭桥术和56例腋动脉-双侧股动脉搭桥术。这项回顾性研究的结果表明,腋动脉-双侧股动脉搭桥术虽然是在老年人群中进行,且更多是为了挽救肢体,但与传统主动脉搭桥手术相比,其手术死亡率较低,五年时的通畅率(76%)和生存率(67%)相似。然而,腋动脉-股动脉搭桥术需要更频繁地进行补救手术以获得长期通畅。

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