[Reconstruction of the femoro-popliteal and peripheral portion in saphenous insufficiency].
Implantation of a venous bypass is the best method of infraarticular and crural reconstructions. In 30%, however, a suitable saphenous vein is not available. If on account of severe ischemia revascularization is necessary, an alternative method must be selected. From a total number of 326 peripheral reconstructions with a distal anastomosis into the distal popliteal artery or crural artery the authors had to use instead of a long venous bypass a subsidiary reconstruction in 145 patients (44.6%). The authors implanted composite venous bypasses in 36 patients (24%), in 93 patients (64%) they combined a venous bypass with desobliteration of the superficial femoral artery and in 16 patients (11%) with an artificial prosthesis. For the end-to-end anastomosis of the prosthesis and vein the authors suggested a plastic operation by means of a venous patch which makes a short anastomosis possible with a smooth transit from a wide prosthesis into a narrow vein. The authors assume that in future ever more frequently the combination prosthesis and vein in the shape of a jump bypass will be preferred to other reconstructive methods, as it is relatively simple and rapid. Their hitherto assembled experience with this methods is favourable.
Bartos
J
J
Chirurgická klinika ILF, Státní nemocnice, Ostrava.
Mayzlík
J
J
Michalský
R
R
Docekal
B
B
Skotnicová
S
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000473:pathology; D014656:Vascular Surgical Procedures / Q000379:methods*
Náhradní rekonstrukce femoropopliteálního a periferního úseku pri nedostatku safény.