Tibial Artery Bypass

Stephen, Michael S.; Loewenthal, John; Little, J. M.; May, James R.; Sheil, Ross

doi:10.1001/archsurg.1976.01360210029005

Cited by 16 publications

(3 citation statements)

References 8 publications

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“…Salvage rates are approximately 50 per cent for femorotibial bypass grafts (Stephen et al, 1976) and only 30 per cent for femoroperoneal grafts (Reichle and Tyson, 1975), and equally poor results were obtained in the present study. Accordingly, the tendency was to perform a sympathectomy if the runoff was bad for the results were no worse.…”

Section: Arterial Reconstructioncontrasting

confidence: 55%

Surgical treatment of the severely ischaemic leg: II. Salvage rates

Myers

King

Scott

et al. 1978

Journal of British Surgery

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SUMMARYThe salvage rates in 437 severely ischaemic legs (384 patients) treated by arterial reconstruction or by lumbar sympathectomy were studied by the life table method. The results were analysed in the surviving patients.Follo wiug arterial reconstruction, the salvage rate was 70per cent at 2 years and 60per cent at 5 years. The results were similar for aortofemoral reconstruction and for femoropopliteal bypass grafting. Following aortofemoral reconstruction the outcome was better for endarterectomy procedures than for Dacron grafts. The salvage rate for femoropopliteal bypass grafts with patent tibial vessels was higher than for grafts to an isolated popliteal segment or for femorotibial grafts. Late occlusion of a reconstruction frequently did not necessitate major amputation, whereas several amputations were required in spite of a functioning reconstruction.Following sympathectomy the salvage rate was 60per cent from I year onwards. The results were better for tibial artery disease than for femoropopliteal or aortoiliac disease. Failed sympathectomy frequently led to major amputation of the leg or death of the patient.The salvage rates after either reconstruction or sympathectomy were not influenced by age, sex or a prior history of clinical myocardial ischaemia, but the rates were worse in diabetics. The outcome of either operation was best when the procedure was performed for rest pain or ischaemic ulceration, satisjactory for limited gangrene but very poor for extensive gangrene.

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Section: Arterial Reconstructioncontrasting

confidence: 55%

Surgical treatment of the severely ischaemic leg: II. Salvage rates

Myers

King

Scott

et al. 1978

Journal of British Surgery

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“…1, 3,4,5,11,12 However, the difference is probably due to an extremely advanced atherosclerotic disease and poor veins in our patients and not to the surgical technique per se. The saphenous vein has been utilized indiscriminately.…”

Section: Resultsmentioning

confidence: 80%

“…Salvage of extremities and relief of ischemic symptoms have been reported after reconstruction of small vessels below the trifurcation of the popliteal artery using the reversed saphenous veins. [1][2][3][4][5] At Surgical department A, Rikshospitalet, Oslo, the in situ vein technique has been used in the treatment of atherosclerotic occlusive disease of the femoropopliteal segment since 1963.~ The series to be presented here is chiefly composed of patients with advanced atherosclerotic disease, and in whom amputation would have been the alternative procedure.…”

mentioning

confidence: 99%

Bypass To the Tibial and Peroneal Arteries Using the Great Saphenous Vein in Situ

1977

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In 22 patients with extensive atherosclerotic disease of the lower extremities 24 long bypasses have been performed. The main indications for surgery were rest pain and imminent or manifest gangrene. The semiclosed in situ vein technique was used in all except one case. Five grafts thrombosed within 2 weeks postoperatively, one of them was successfully reopened. At discharge 20 grafts were patent, and most of the patients had relief of their ischemic symptoms. After 5 years 26% of the long vein grafts were patent. In comparison, almost 70% of in situ femoro-popliteal vein grafts were patent. One patient is still living with an open long vein graft 14 years after surgery. The in situ vein technique is especially suited for long bypasses. The poorer results in the present series is probably due to an extremely advanced atherosclerotic disease and a high percent of small fibrotic veins with a diameter of 3 mm or less.

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Allograft Vein Arterial Bypass

Stephen¹

1978

Arch Surg

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Tibial Artery Bypass

Cited by 16 publications

References 8 publications

Surgical treatment of the severely ischaemic leg: II. Salvage rates

Surgical treatment of the severely ischaemic leg: II. Salvage rates

Bypass To the Tibial and Peroneal Arteries Using the Great Saphenous Vein in Situ

Allograft Vein Arterial Bypass

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