[Risks and follow-up after crural vascular reconstruction in the extremity at risk for ischemia].
After 36 crural bypass operations the operative risk and the long-term results were analyzed in 34 patients. For reconstruction autologous vein (n = 12), a composite graft (saphenous vein and PTFE, n = 10) and in 14 cases a 6 mm PTFE graft were used. In 18 cases a monobypass, in another 16 patients a jump graft and in two patients a sequential bypass were performed. Postoperative complications were seen in 16.7%. An early bypass occlusion was seen in one patient, an amputation was necessary in 2 patients. After 1,2 and 3 years the bypass patency rate was 85%, 67% and 67%. The long-term results were dependent on the bypass material. The best results were seen with vein or composite grafts with a 3 year patency rate of 82% in contrast to only 39% of a PTFE graft.
Böttger
T C
TC
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes-Gutenberg-Universität Mainz.
Jonas
J
J
Maier
M
M
Junginger
T
T
D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical; D000792:Angiography; D001807:Blood Vessel Prosthesis; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D014680:Veins / Q000637:transplantation*
D011138:Polytetrafluoroethylene
Risiko und Verlauf nach kruraler Gefässrekonstruktion bei ischämisch bedrohter Extremität.