[Long-term results following surgical revascularization with autologous vein in an amputation-jeopardized leg].
The autologous vein bypass is the graft material of choice in the treatment of lower extremity ischemia. Since 1982 we have inserted a femoro-popliteal or femoro-distal vein bypass to avert a threat to a lower limb (clinical stage III or IV) in 88 patients. In the follow-up of one to maximum 60 months, 36 patients died. Five grafts occluded. Five legs had to be amputated, 3 after failed reconstruction and 2 in spite of functioning bypass. The cumulative 5-year patency amounted to 93% (life-table analysis). In the vast majority autologous vein bypass graft can avert the imminent threat of amputation.
Steck
P
P
Universitätsklinik für Thorax-, Herz- und Gefässchirurgie, Inselspital, Bern.
Stirnemann
P
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000601:surgery; D012501:Saphenous Vein / Q000637:transplantation*; D014182:Transplantation, Autologous; D014654:Vascular Patency
Langzeitergebnisse nach chirurgischer Revaskularisation mit autologer Vene beim amputationsbedrohten Bein.