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首页> 外文期刊>Vascular and endovascular surgery >Remote superficial femoral artery endarterectomy: early results for TASC D lesions in patients with severe ischemia.
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Remote superficial femoral artery endarterectomy: early results for TASC D lesions in patients with severe ischemia.

机译：远端股浅动脉内膜切除术：重度缺血患者TASC D病变的早期结果。

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摘要

Endovascular treatment for Transatlantic Inter-Society Consensus (TASC) D lesions of the superficial femoral artery has been disappointing. This has been attributed to a bulking atheromatous plaque. Debulking the superficial femoral artery allows for a larger lumen, whereas covering the lumen with an endograft provides in-line flow. We evaluated the intermediate results of remote superficial femoral artery endarterectomy with covered endograft placement in 18 patients. Patient demographic, vascular laboratory, and preoperative data were gathered retrospectively. The procedure was technically successful in all the patients. The mean age was 62.2 +/- 9.9 years. Ankle brachial index improved from 0.35 +/- 0.1 to 0.86 +/- 0.1. The cumulative 12-month primary patency was 42.2%, whereas assisted primary or secondary patency was 70.8%. Five endografts occluded within the 12 months. Two of those patients underwent subsequent femoral-to-below-knee bypass, whereas 2 had major amputations. Remote superficial femoral artery endarterectomy can be reasonably offered if an autogenous conduit is not available for revascularization of the superficial femoral artery.
机译：跨大西洋浅表股动脉D病变的血管内治疗令人失望。这归因于膨胀的动脉粥样斑块。股浅动脉的减缩术允许更大的管腔，而用内移植物覆盖管腔则提供了顺流。我们评估了18例患者行远距离股浅动脉内膜切除术并覆盖有植体的​​中间结果。回顾性收集患者的人口统计，血管实验室和术前数据。在所有患者中，该手术在技术上都是成功的。平均年龄为62.2 +/- 9.9岁。踝臂指数从0.35 +/- 0.1提高至0.86 +/- 0.1。累积的12个月初次通畅率为42.2％，而辅助初次或二次通畅率为70.8％。在12个月内阻塞了5个内移植物。这些患者中有2例接受了股骨至膝盖以下的旁路手术，而2例进行了大截肢手术。如果自体导管不能用于股浅动脉的血运重建，则可以合理地进行远端股浅动脉内膜切除术。

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