Popliteal-to-Distal Bypass for Limb Salvage

Grego, Franco; Antonello, Michele; Stramanà, Rudi; Deriu, Giovanni P.; Lepidi, Sandro

doi:10.1007/s10016-004-0040-7

Cited by 26 publications

(18 citation statements)

References 24 publications

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“…Our primary patency rate of 63.3% at 5-years compares favourably with other published results [14][15][16][17][18] including the recently published meta-analysis [19] which quoted a 5-year pooled primary patency rate of 63.1% and also a larger study of inframalleolar bypasses [20]. Of note, not all of these studies were exclusively below knee popliteal to pedal bypasses.…”

Section: Discussionsupporting

confidence: 82%

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Popliteo–pedal bypass surgery for critical limb ischemia

et al. 2011

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Section: Discussionsupporting

confidence: 82%

“…Overall survival in our patient population with multiple co-morbidities is equivalent to other major studies [9][10][11][14][15][16][17][18]. Long-term survival results for endovascular intervention are still awaited.…”

Section: Discussionmentioning

confidence: 70%

Popliteo–pedal bypass surgery for critical limb ischemia

et al. 2011

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“…Distal origin bypass grafts have been shown to have a relatively high limb salvage rate with reasonable morbidity and mortality rates (10,11). The technique of simultaneous SFA endovascular intervention and popliteal to distal bypass was first reviewed by Schneider et al (12).…”

Section: Discussionmentioning

confidence: 99%

Simultaneous hybrid revascularization for symptomatic lower extremity arterial occlusive disease

Joh

Joo

2013

Experimental and Therapeutic Medicine

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Multilevel revascularization, using a combination of endovascular and open (hybrid) surgery, is increasingly being used. Hybrid surgery allows complex anatomy to be treated by minimally invasive procedures in medically high risk patients. The aim of the present study was to report a novel hybrid surgery for lesions in the multilevel lower extremity arteries and to evaluate the clinical outcomes. Consecutive patients who presented at a single institution between March 2009 and Feburary 2012 were selected for inclusion in the study. The patients had disabling claudication or critical limb ischemia and underwent treatment for revascularization by open surgery or by a combination of open surgery and endovascular procedure. Retrospective analysis was conducted from a prospectively collected database. All procedures were performed by a vascular surgeon in an operating room. Postoperative surveillance in outpatient clinics was conducted at 3 and 6 months and every 6 months thereafter. A total of 76 patients were included in the study with a mean age of 67.1±11.3 years (range, 42–94 years) and the male to female ratio was 67:9. The most common indication for revascularization was Rutherford category IV (resting pain). The immediate technical success rate of hybrid surgery was 90.5%, with an overall limb salvage rate of 97.4%. The primary patency rates of the hybrid and open groups were 100 and 90.9%, respectively (P=0.441). Therefore, the results of the present study indicate that hybrid surgery is a feasible option for the treatment of multilevel peripheral arterial occlusive disease, showing favorable patency and limb salvage rates. These observations indicate that femoral endarterectomy plays a vital role in hybrid surgery.

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“…11,12 This procedure would follow the TASC guidelines, which recommend surgical bypass for C and D lesions. However, an adequate inflow vessel needs to be provided.…”

Section: Introductionmentioning

confidence: 99%