Troilo D, Marchionni F, Quadrini N
Divisione di Chirurgia Generale, Ospedale G. Consalvi, Casoli, Chieti.
Minerva Cardioangiol. 1997 Nov;45(11):547-52.
The authors report the present indications for thromboendarterectomy (TEA) and the advantages it offers for the surgical treatment of steno-obstructive lesions of aortoiliac and femoro-popliteal regions. They illustrate this method and the necessary instruments and describe the technique in detail, for the good outcome of revascularization.
Then personal surgical experience in 46 patients during the period from January 1985 to December 1995, is reported. Epidemiological data (sex, average age, risk-factors, concomitant diseases), different types of surgical operations (TEA "open air", TEA "semiclosed", TEA in association with bypass), clinical and instrumental preoperating study, invasive or not, medical therapy during and after operation, immediate and remote check-up are then reported.
The results in terms of cumulative pervious vessel and salvage of the arm, compared with different stages of the disease and a 5 years- follow-up are reported. The effectiveness of TEA is confirmed in the symptomatic improvement and salvage of the arm, and the lower costs, when the indications and the accuracy of surgical technique are respected.
作者报告了目前血栓内膜切除术（TEA）的适应证及其在主动脉髂动脉和股腘动脉区域狭窄阻塞性病变手术治疗中的优势。他们阐述了该方法及所需器械，并详细描述了技术，以实现血管重建的良好效果。
报告了1985年1月至1995年12月期间46例患者的个人手术经验。接着报告了流行病学数据（性别、平均年龄、危险因素、伴随疾病）、不同类型的手术操作（“露天”TEA、“半封闭”TEA、与旁路联合的TEA）、术前临床和器械检查（无论是否为侵入性）、术中及术后药物治疗、近期和远期检查情况。
报告了与疾病不同阶段相比，5年随访期内血管通畅累积率和肢体挽救情况的结果。当遵循适应证和手术技术准确性时，TEA在症状改善和肢体挽救方面的有效性得到证实，且成本较低。
