Tibial and peroneal bypass in severe occlusive disease of the lower extremities.

摘要: Symptomatic arteriosclerotic occlusive disease involving the femoral and proximal popliteal arteries is currently best treated by reversed autogenous saphenous vein bypass graft. Severe frequently includes and/or origin of trifurcation vessels with reconstitution one or more in lower leg. We have used distal 97 times 90 patients during past decade. There was only postoperative death series spite advanced age concurrent majority patients. Our indications for operation continue to be relief pain salvage an extremity. rely on high quality preoperative angiograms selection receive bypass. The posterior tibial artery 63 cases, while anterior peroneal were 24 10 respectively. 11 immediate inhospital failures this cases requiring amputation five. Three additional had amputations ensuing several months. Of 85 grafts functioning at time discharge from hospital, 16 (18.8%) failed first years. Grafts that remained patent year a incidence long term patency which keeping other reported series.