A surgical strategy for femoro-crural reconstruction.
In order to improve the results of femoro-distal bypass grafting a number of tactics are suggested. The bypass distance should be kept to a minimum using autologous vein as a bridge between open segments. Anastomoses should be end to end wherever possible because of their haemodynamic characteristics and collaterals should be preserved by a proximal end to side anastomosis. When salvaging the extremity the dissection should be kept to a minimum in tissue which is already ischaemic.
D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D003097:Collateral Circulation; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000503:physiopathology; D008875:Middle Aged; D011859:Radiography; D012039:Regional Blood Flow; D012189:Retrospective Studies; D014471:Umbilical Veins / Q000637:transplantation; D014654:Vascular Patency