Document Detail


Isolated popliteal versus distal bypasses for limb salvage.
MedLine Citation:
PMID:  7089834     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The results of 54 bypass procedures--22 to an isolated popliteal segment and 32 to an infrapopliteal major calf vessel for limb salvage--were evaluated. After a distal bypass, the elevation of systolic pressure at the ankle was greater than that observed following a bypass to an isolated popliteal segment. However, healing times for ischemic lesions of the foot were comparable for each procedure. Patency and limb salvage rates for saphenous vein and polytetrafluoroethylene isolated popliteal segment bypasses were similar to those obtained with vein bypass grafts to infrapopliteal major calf vessels. In contrast, when polytetrafluoroethylene was used for a distal bypass below the popliteal artery, the failure rate was higher in the first year, with subsequent limb loss. These data suggest that, when a bypass operation is undertaken in the lower extremity for limb salvage, a bypass to an isolated popliteal segment, using either saphenous vein or polytetrafluoroethylene, is preferable to a polytetrafluoroethylene infrapopliteal bypass.
Authors:
R Mason; A Lanfranchi; F Giron
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery, gynecology & obstetrics     Volume:  155     ISSN:  0039-6087     ISO Abbreviation:  Surg Gynecol Obstet     Publication Date:  1982 Jul 
Date Detail:
Created Date:  1982-08-14     Completed Date:  1982-08-14     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0101370     Medline TA:  Surg Gynecol Obstet     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  49-53     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Amputation
Blood Pressure
Blood Vessel Prosthesis
Female
Graft Survival
Humans
Ischemia / surgery*
Leg / blood supply*,  surgery
Male
Methods
Middle Aged
Popliteal Artery / surgery*
Regional Blood Flow
Saphenous Vein / transplantation

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


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