Postoperative predictive value of a new method of intraoperative angiographic assessment of runoff in femoropopliteal bypass grafting.

摘要: Abstract In 96 consecutive patients undergoing primary femoropopliteal bypass grafting, the runoff was evaluated with a new grading system, based on findings at intraoperative postreconstruction serial angiography. This concept, which takes foot vessel involvement into account in only one patent crural artery, is modification of traditional method assessment. Good defined as patency two or three lower leg arteries to patent, continuous intact anterior posterior arch. limbs no deficient occluded arches, classified poor. The cumulative rates 12 months groups good and poor were 81% 37%, respectively. predictive value superior that other comparable methods (traditional method, Society for Vascular Surgery International Cardiovascular criteria, modified criteria). improved prediction can be ascribed optimal angiographic technique visualizing distal vessels, selective evaluation criteria used define runoff. (J Vasc Surg 1989;10:400–7.)