[Bypass for limb salvage. A matter of the veins? Preliminary report apropos of 100 femoro-distal revascularizations].
The authors have performed a prospective study on 100 cases of limb salvage. The reference procedure was the in situ femoro-subinguinal bypass (67 observations). If no vein could be used, replacement material was thin-wall PTFE (33 observations). Both groups are clinically and radiologically homogeneous. The longest delay is 30 months. The cumulated patency rate is 86% for venous bypass grafts against 62% for prostheses. The difference is less marked for limb salvage: 96% with venous bypass and 84% with a PTFE bypass. Without trying to oppose both techniques, the authors emphasize the need for revascularization, even when distally seems to be compromised.
Ohanessian
J H
JH
Fourcade
N
N
Bashour
G
G
Morel
C
C
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006083:Graft Occlusion, Vascular; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene / Q000627:therapeutic use*; D011446:Prospective Studies; D014680:Veins / Q000601:surgery
D011138:Polytetrafluoroethylene
Les pontages pour sauvetage de membre. Une question de veine? Rapport préliminaire à propos de 100 revascularisations fémoro-distales.