Document Detail


Effect of inflow and outflow sites on the results of tibioperoneal vein grafts.
MedLine Citation:
PMID:  3740359     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We have reviewed our experience with the tibial vessel bypass operation and have found the overall patency and limb salvage rates to be acceptable. Patients were divided into two groups based on the site of the proximal anastomosis. In Group I, the proximal anastomosis was at the common femoral artery and in Group II, the proximal anastomosis was at the distal superficial femoral artery or the popliteal artery. The patients in the two groups were similar with regard to indications for operation, age, and sex. However, in Group I, 35 percent of the patients were diabetic and in Group II, 74 percent of the patients were diabetic. In the Group I patients, the 72 month graft patency rate was 65 percent with a limb salvage rate of 75 percent. In the Group II patients, the 72 month patency rate was 81 percent with a limb salvage rate of 89 percent. Some possible explanations for this slightly better result in Group II patients are discussed. All tibial bypasses were divided into three groups based on the recipient tibial artery. Analysis revealed that the 72 month patency rates were as follows: the anterior tibial artery 63 percent, the posterior tibial artery 81 percent, and the peroneal artery 80 percent. These differences were not significant but indicate, as others have recently pointed out, that the peroneal artery is indeed an acceptable recipient artery for tibial bypass surgery.
Authors:
A N Sidawy; J O Menzoian; N L Cantelmo; F W LoGerfo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  152     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1986 Aug 
Date Detail:
Created Date:  1986-09-17     Completed Date:  1986-09-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  211-4     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Actuarial Analysis
Arm / blood supply
Arteriosclerosis / complications,  surgery
Diabetic Angiopathies / complications,  surgery
Femoral Artery / surgery
Fibula
Graft Occlusion, Vascular / etiology*
Humans
Leg / blood supply*
Popliteal Artery / surgery
Saphenous Vein / transplantation*
Tibia

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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