Abstract
Background. The aim of this study was to analyse the results of infragenual arterial revascularisation using semiclosed endarterectomy of the superficial femoral artery combined with a short venous bypass in patients with critical leg ischemia and insufficient venous material for a straightforward femorocrural reconstruction. Methods. From December 1990 through December 1998 thirty patients were studied (22 males and 8 females; mean age 65 years, range 31-92 years). The mean follow-up was 26 months (range 1-96 months). Cumulative primary patency and limb salvage rates were calculated according to life-table analysis. Results. The cumulative primary patency was 60.3% at 1 year and 48.4% at 3 years. The limb salvage rate was 68.6% at 1 and at 3 years. Conclusions. In patients with limb-threatening ischemia and lack of venous material for a straightforward venous femorocrural bypass, semi-closed endarterectomy of the superficial femoral artery combined with a short popliteo-crural bypass provides a good alternative.
Original language | English |
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Pages (from-to) | 753-758 |
Number of pages | 6 |
Journal | Journal of Cardiovascular Surgery |
Volume | 41 |
Issue number | 5 |
Publication status | Published - 2000 |
Keywords
- Arterial occlussive diseases surgery
- Endarterectomy
- Femoral artery surgery
- Ischemia surgery
- Leg blood supply
- Veins transplantation