Femoropopliteal saphenous vein bypass grafts. Analysis of 150 cases.

作者: Ferris S Ray , C Philip Lape , Chris A Lutes , Richard C Dillihunt

DOI: 10.1016/0002-9610(70)90138-8

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摘要: Abstract Our experience with 150 cases of femoropopliteal saphenous vein bypass grafting performed during the past nine years has been reviewed. A long-term patency rate 84.6 per cent confirms our belief that reversed autogenous graft is best operation in treatment occlusive disease arteries. would seem to support following conclusions: 1. Long-term results do not appear be significantly influenced by clinical indications for surgery. 2. It impossible determine operability any patient on grounds alone. Patients advanced gangrene may show an outflow tract ideally suited grafting. 3. There appears a poor correlation between preoperative angiogram and functional found at 4. Autogenous grafts function well remain patent long periods time despite limited tracts such as isolated popliteal segment or single vessel run-off. 5. The from common femoral artery distal below knee associated highest success rate. 6. decreased if was less than 5 mm diameter. 7. age alone does influence 8. Excellence surgical technic utmost importance high degree expected. Errors probably account most immediate failures greatly results. 9. Almost all patients facing amputation because should undergo arteriography. When this group were suitable venous grafts, 77.5 achieved only operative mortality.

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