The use of far distal arterial bypass for limb salvage.
Thirty-four distal arterial reconstructions to the ankle and the foot for limb salvage were performed in 33 patients, 11 of whom underwent additional operative procedures. The follow-up period is up to 4 years. The operative mortality rate was 9.09%. The 6 month, 1 year and 2 year accumulated patency rates calculated by life table analysis were 85%, 86.7% and 77.3%, respectively. Limb salvage was achieved not only in patients with patent grafts but also in a considerable number of patients whose grafts were occluded between 3 and 24 months postoperatively.
D000206:Actuarial Analysis; D000842:Ankle / Q000098:blood supply*; D001807:Blood Vessel Prosthesis; D005260:Female; D005500:Follow-Up Studies; D005528:Foot / Q000098:blood supply*; D006083:Graft Occlusion, Vascular / Q000175:diagnosis*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis*; D012501:Saphenous Vein / Q000637:transplantation; D013997:Time Factors; D014656:Vascular Surgical Procedures / Q000379:methods