动脉粥样硬化所致慢性内脏缺血的血运重建方法
Revascularization methods in chronic visceral ischemia caused by atherosclerosis.
作者信息
Stoney R J, Ehrenfeld W K, Wylie E J
出版信息
Ann Surg. 1977 Oct;186(4):468-76. doi: 10.1097/00000658-197710000-00008.
A comparison of revascularization methods used in 35 patients who underwent 39 operations for chronic visceral ischemia caused by atherosclerosis is presented. All but two of these various methods have been abandoned either because of technical difficulties encountered during the procedure, or the high failure rate observed after operation. The two techniques which overcame these objections are: (1) antegrade aorto-celiac prosthetic grafts, and (2) transaortic endarterectomy using a thoracoretroperitoneal approach.
本文介绍了对35例因动脉粥样硬化导致慢性内脏缺血而接受39次手术的患者所采用的血管重建方法的比较。在这些各种各样的方法中，除了两种之外，其他方法都已被放弃，要么是因为手术过程中遇到技术困难，要么是因为术后观察到的高失败率。克服了这些问题的两种技术是：（1）顺行性主动脉 - 腹腔动脉人工血管移植术，以及（2）采用胸腹膜后入路的经主动脉内膜切除术。
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