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- Title
Popliteal and Tibial Artery Bypasses for Limb Salvage.
- Authors
Chang, John B.
- Abstract
This is a report on personal experiences with 549 cases of popliteal and tibial artery revascularization. There were 204 cases of femoral-popliteal artery bypass procedures utilizing vein grafts. In 193 cases, this procedure was done with autogenous greater saphenous vein grafts. The remainder of the cases consisted of arm veins, bank veins and superficial femoral veins. There were 149 femoral-tibial or popliteal-tibial artery bypasses utilizing vein grafts or composite grafts. In 83 cases, tibial artery bypasses were done with autogenous greater saphenous vein grafts. In 30 cases, popliteal-tibial artery bypasses were done with autogenous greater saphenous vein grafts. In 25 cases, femoral-popliteal-tibial artery sequential bypasses were done with autogenous greater saphenous vein grafts. The remainder were arm veins and composite grafts with arm vein, leg vein and graft materials. In 178 cases, femoral-popliteal or tibial artery bypasses were done with PTFE grafts. Of these cases, 157 femoral-popliteal bypasses were done with PTFE. Femoral-tibial artery bypasses were done with PTFE in 21 cases. In 18 cases, femoral-popliteal artery bypasses were done with biografts, utilizing human umbilical vein grafts. The sexual ratio in the total number of cases was 62% male to 38% female. The total number of cases was further divided into different groups. The cumulative patency rate of femoral-popliteal artery bypass, utilizing PTFE graft with distal anastomosis at above-knee level, was 90% at the third year. The femoral-popliteal artery bypass with autogenous greater saphenous vein graft had a patency rate of 84% at the fifth year. The patency rate of femoral-tibial artery bypass with autogenous greater saphenous vein graft was 68% at the fifth year. The femoral-popliteal-tibial artery sequential bypass, with autogenous greater saphenous vein graft, had a third-year patency rate of 80%. The popliteal-distal-tibial artery bypass, with autogenous greater saphenous vein...
- Subjects
POPLITEAL fossa; MYOCARDIAL revascularization; FEMORAL vein; TRANSPLANTATION of organs, tissues, etc.
- Publication
Vascular Surgery, 1985, Vol 19, Issue 3, p137
- ISSN
0042-2835
- Publication type
Article
- DOI
10.1177/153857448501900301