Document Detail


Successful vein bypass in patients with an ischemic limb and a palpable popliteal pulse.
MedLine Citation:
PMID:  3947218     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients presenting with an ischemic foot who have a palpable popliteal pulse have not always been considered to be suitable candidates for arterial reconstruction. Since 1976, 32 distal bypasses were performed in 30 such patients, 77% of whom were diabetic. Proximal anastomoses were from the distal superficial femoral or popliteal artery. Autologous vein was used in all cases. There were six graft failures, all of which occurred within eight months. Three failures, which all occurred within the first month, required below-the-knee amputation. Using life-table analysis, the one- and three-year patency rates were both 79%. One- and three-year limb-salvage rates were 89% and 82%, respectively. We conclude that the results of distal vein graft reconstruction originating from the superficial femoral or popliteal artery are comparable with those of any group of patients with arterial occlusive disease of a lower extremity.
Authors:
N L Cantelmo; J R Snow; J O Menzoian; F W LoGerfo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  121     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1986 Feb 
Date Detail:
Created Date:  1986-02-24     Completed Date:  1986-02-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  217-20     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Femoral Artery / surgery*
Graft Occlusion, Vascular
Graft Survival
Humans
Ischemia / physiopathology,  radiography,  surgery*
Leg / blood supply*
Male
Middle Aged
Popliteal Artery / physiopathology,  surgery*
Pulse*
Reoperation
Saphenous Vein / radiography,  transplantation*

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


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