Benedetti E, Baraniewski H M, Asolati M, Pollak R, Schuler J J
Department of Surgery, University of Illinois at Chicago 60612, USA.
Clin Transplant. 1997 Oct;11(5 Pt 1):459-62.
An intraoperative dissection of the external iliac artery during pancreas transplantation was successfully repaired using the donor iliac artery allograft as a conduit between the internal iliac and distal external iliac artery. An angiogram performed 6 months after surgery showed a patent bypass without stricture or pseudoaneurysm. At 1 yr follow-up after transplant the grafts are functioning well, and the affected extremity is normal. In immunosuppressed recipients of solid organ transplants, fresh arterial allografts may be successfully used for iliac artery reconstruction. Further study will be needed to determine the role of arterial allografts for lower extremity bypass surgery in immunosuppressed patients.
在胰腺移植过程中，利用供体髂动脉同种异体移植物作为髂内动脉与髂外动脉远端之间的管道，成功修复了术中对髂外动脉的解剖。术后6个月进行的血管造影显示旁路通畅，无狭窄或假性动脉瘤。移植后1年随访时，移植物功能良好，患侧肢体正常。在实体器官移植的免疫抑制受者中，新鲜动脉同种异体移植物可成功用于髂动脉重建。需要进一步研究以确定动脉同种异体移植物在免疫抑制患者下肢旁路手术中的作用。
