The transtibial route for femoral to anterior tibial artery bypass.
OBJECTIVE
To assess the applicability of the transtibial route, via a drilled hole in the tibia, for femoral to anterior tibial artery bypass surgery.


METHODS
in a pilot study of 10 patients the preoperative arm/ankle systolic blood pressure indices were compared with those after operation. Patients were followed for 2 years.


RESULTS
of the 10 patients, one was lost to follow-up and two had occlusions of their bypasses. After two years the remaining seven still had patient bypasses, with arm/ankle systolic blood pressure indices that were significantly higher than those before operation (p < 0.05).


CONCLUSIONS
The transtibial route, via a drilled hole in the tibia, is a viable alternative to other methods for femoral to anterior tibial artery bypass surgery.
Ligtenstein
D A
DA
Department of General Surgery, Reinier de Graaf Hospital, The Netherlands.
Jansen
W B
WB
Koning
J
J
D000368:Aged; D001166:Arteriovenous Shunt, Surgical / Q000379:methods; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000453:epidemiology / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D010865:Pilot Projects; D012501:Saphenous Vein / Q000601:surgery*; D013977:Tibia / Q000601:surgery; D016909:Tibial Arteries / Q000601:surgery*; D013997:Time Factors; D014654:Vascular Patency / Q000502:physiology