Results of femoropopliteal and femorotibial greater saphenous vein in situ bypass. Life table analysis.
Five-hundred-ninety-four nonselected "in situ" reconstructions were analysed retrospectively using the life table method. Especially after immediate occlusion cumulative patency is very unsatisfactory. After 5 years cumulative patency rate in these cases is 39.5% vs. 64.9% in all cases. Patency rates are influenced by the anastomotic site and the run-off quality. While statistically not significant, popliteal anastomoses perform a little better after 5 years than peripheral anastomoses (67% vs. 51% cumulative patency rate). The number of patent tibial arteries seems to be the most important determinant. In non-occluded run-off cases (three patent tibial vessels) the cumulative patency rate after 5 years is 82.2% vs. 56% in cases with only one patent tibial artery. The difference is statistically significant.
Gruss
J D
JD
Department for Vascular Surgery, Kurhessisches Diakonissenhaus, Kassel, Germany.
Hiemer
W
W
D000368:Aged; D001157:Arterial Occlusive Diseases / Q000401:mortality / Q000601:surgery*; D001166:Arteriovenous Shunt, Surgical; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D015993:Life Tables; D008297:Male; D011150:Popliteal Artery / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D012501:Saphenous Vein / Q000601:surgery*; D015996:Survival Rate; D016909:Tibial Arteries / Q000601:surgery*; D016896:Treatment Outcome; D014654:Vascular Patency