[Revascularisation in the femoro-crural region (author's transl)].
Femoro-crural revascularisation was performed in 132 operations in 126 patients. In 85.6% of these cases the operation was indicated because stage-III or stage-IV ischaemia was present. The necessity for surgery is determined by radiography of one artery of the lower extremity; in 31 of these patients it was necessary to perform a direct femoral puncture or an exploratory vascular operation followed by angiography. The authors' policy was to perform orthotopic reconstruction with autogenous vein grafts. In isolated cases a ring clearance or a prosthesis was used in the thigh region. Immediate patency was obtained in 93.9%. Of these operations, 120 were seen as follow-up; 78.3% of the bypasses were still patent, there was occlusion in 15 cases, and amputation was necessary in 11. Long-term results (2 to 9 years after the operation) were good in 64.4%.
D000328:Adult; D000368:Aged; D001132:Arm / Q000098:blood supply; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008722:Methods; D008875:Middle Aged; D011859:Radiography; D013997:Time Factors; D014182:Transplantation, Autologous; D014680:Veins / Q000637:transplantation
Indikation, Technik und Ergebnisse der femoro-kruralen Revaskularisation beim Unterschenkelarterienverschluss.