[Diabetic gangrene in peripheral vascular occlusion. Saving the extremity by popliteo-pedal venous bypass].
23 patients with diabetic gangrene and complete occlusion of all 3 tibial arteries were treated by 26 popliteopedal vein bypass grafts. All 6 early graft failures resulted in major amputations. The cumulative graft patency rate was 76% after 6 years. One patient needed lower-leg amputation despite a functioning graft. All other limbs were saved (mean follow-up period: 24.8 months). It is concluded that despite a palpable popliteal pulse an angiographic examination should be performed, when the infectious lesion cannot be controlled by local treatment and pedal pulses are absent.
Schweiger
H
H
Chirurgische Klinik mit Poliklinik, Universität Erlangen-Nürnberg.
Lang
W
W
D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical; D003925:Diabetic Angiopathies / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005528:Foot / Q000098:blood supply; D005734:Gangrene; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D011150:Popliteal Artery / Q000601:surgery*; D011859:Radiography; D014680:Veins / Q000637:transplantation*
Die diabetische Gangrän bei peripheren Gefässverschlüssen. Extremitätenerhalt durch popliteo-pedalen Venen-Bypass.