Long-term results and current indications in femoropopliteal vascular reconstructions.
The current indications to and long-term results of the femoropopliteal by-passes are analysed. The absolute indication is critical ischaemia with rest pain or trophic change i.e. ulcers and gangrene. The most important factor influencing the long-term results is the nature of the graft per se. The indications, arteriographic run-off, site of anastomosis, earlier femoropopliteal operations all exert a major influence on the late results, particularly prosthetic grafts are used. The results indicate the need for more prospective studies with careful monitoring of different variants in order to better understand the role of the femoropopliteal by-pass in the palliation of infra-inguinal atherosclerotic occlusive disease.
Balas
P
P
First Department of Surgery, University of Athens, Greece.
Bastounis
E
E
Koustas
G
G
D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000601:surgery; D007866:Leg / Q000098:blood supply; D011150:Popliteal Artery / Q000601:surgery*; D012086:Reoperation; D014654:Vascular Patency; D014680:Veins / Q000637:transplantation*