Document Detail

Inframalleolar bypass grafts for limb salvage.
MedLine Citation:
PMID:  20920860     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To report our experience of long-term results of inframalleolar bypass.
DESIGN: Retrospective analysis.
MATERIALS AND METHODS: We analysed 122 inframalleolar bypasses performed between January 1991 and June 2005 in 116 patients. Most patients were treated for critical ischaemia (97%). The indication for the use of podalic arteries was a lack of tibial arteries with run-off to the foot. The dorsalis pedis was predominantly used for distal anastomoses (62.3%) and the greater saphenous vein (84.4%) as the conduit. The follow-up periods ranged from 1 to 60 months. The endpoints analysed were graft patency, limb salvage, preservation of deambulation and survival rate.
RESULTS: The cumulative patency was 58.2% at 3 years and 53.4% at 5 years. The best results were achieved with the devalvulated greater saphenous veins. Limb salvage was 70.0% at 3 years and 50.4% at 5 years, with preserved deambulation rates of 57.3% and 47.1%, respectively. There were 36 major and 45 minor amputations. At 3 years, the survival rate was 50.2% and the surgical mortality 13%. Female sex was associated with worse results for cumulative patency and limb salvage (P<0.01).
CONCLUSIONS: In the long term, inframalleolar bypass is a satisfactory option for limb salvage.
F C Brochado Neto; M V M Cury; V S Costa; I B Casella; M F Matielo; E T Nakamura; C S Pecego; R Sacilotto
Publication Detail:
Type:  Journal Article     Date:  2010-10-12
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  40     ISSN:  1532-2165     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-29     Completed Date:  2011-01-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  747-53     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
Hospital do Servidor Publico Estadual Sao Paulo (HSPE)--Department of Vascular Surgery, Sao Paulo, SP, Brazil.
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MeSH Terms
Aged, 80 and over
Arterial Occlusive Diseases / complications,  mortality,  physiopathology,  radiography,  surgery*
Arteries / transplantation
Ischemia / etiology,  mortality,  physiopathology,  radiography,  surgery*
Kaplan-Meier Estimate
Limb Salvage*
Lower Extremity / blood supply*
Middle Aged
Proportional Hazards Models
Retrospective Studies
Risk Assessment
Risk Factors
Saphenous Vein / transplantation*
Sex Factors
Time Factors
Treatment Outcome
Vascular Grafting* / adverse effects,  mortality
Vascular Patency

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

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