[Long-term results of reversed venous femoro-popliteal bypass. Apropos of 151 cases].
Of 151 inversed autogenous vein grafting done in 137 patients for femoro-popliteal disease, 97 (65%) have been done for severe ischemia (rest pain or gangrene); others (35%) have been done for severe walking pain or popliteal and/or femoro-popliteal aneurysms. The follow-up is of 13 years. Hospital mortality was 5 (3,3%). Early failure is of 6%. Patency rate at 5 years is 60% and at 10 years 46%. The lower the anastomosis is done on the popliteal artery the better is the long-term patency rate. The worst results are in diabetic and younger patients. Technic of in situ vein grafting would have not allowed 26% of patients venous revascularization because of the poor condition of the saphenous vein, that the inversed technic permitted (on using internal + external saphenous, resection-suture, etc).
D000328:Adult; D000368:Aged; D000783:Aneurysm / Q000150:complications; D001161:Arteriosclerosis / Q000601:surgery; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000601:surgery; D007866:Leg / Q000098:blood supply*; D008297:Male; D008722:Methods; D008875:Middle Aged; D011150:Popliteal Artery / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation*; D013927:Thrombosis / Q000601:surgery; D014652:Vascular Diseases / Q000601:surgery*
Résultats a long terme des pontages veineux inversés fémoro-poplités. A propos de 151 cas.