腋-股架桥术治疗髂、股动脉闭塞性疾病

Axillofemoral Bypass for Iliofemoral Occlusive Disease

目的 总结腋 -股架桥术治疗髂、股动脉闭塞或狭窄的疗效。 方法 回顾性分析 2 0例髂、股动脉闭塞或狭窄病例的临床资料、危险因素、手术指征及效果。 结果 均行腋 -股动脉架桥术 ,17例单侧 ,3例双侧 ,共 2 6条 ;18例是为拯救肢体而手术 ,其 1,3 ,5年通畅率为 87% ( 2 0 2 3 ) ,74% ( 17 2 3 )及 61% ( 14 2 3 )。 3 0d内死亡 1例 (占 5 % )。 3例移植物在术后 6.5个月内闭塞 ,均发生在股 -股搭桥中 ,而腋 -股搭桥则长期通畅。 结论 对广泛的慢性髂、股动脉闭塞性疾病 ,腋

Objective To summarize the experience of axillofemoral bypass. Methods Consecutive axillofemoral bypass was performed in 20 cases of chronic iliofemoral occlusive disease. Patients' demography, risk factors, and the indications for surgery, outcomes were analyzed. Results In the 20 axillofemoral bypass grafts, 17 were unifemoral and 3 bifemoral.18 procedures were performed for limb salvage.Primary patency rates at 1,3, and 5 years were 87%(20/23),74%(17/23),and 61%(14/23). Thirty-days mortality rate was 5%.Occlusions occurred after the operation in three femorofemoral graft limbs while the patency of axillofemoral limbs were kept consistently. Conclusions For patients with chronic iliofemoral occlusive disease, axillofemoral bypass is an excellent operation in those possess the prohibitive risk for direct aortic reconstruction or those with limited life expectancy.