title: Pantaloon vein graft technique in tibial revascularization with arteriovenous fistula for limb salvage.
abstract: Graft patency and limb salvage in 91 successive patients operated upon between April 1989 and April 1994 with a human umbilical vein graft combined with an adjunctive arteriovenous fistula at the distal anastomosis of the prosthetic graft in a single limb were evaluated. All the patients operated on were in the 'limb salvage' category. On discharge from hospital 91% of the revascularized limbs were salvaged. Secondary cumulative patency at 57 months was 57.3% with a 61.5% limb salvage rate. This technique, which has anatomical and haemodynamic advantages, results in improved graft patency and foot salvage rates in patients with critical leg ischaemia and poor distal run-off when autologous saphenous vein is absent or cannot be used.
authors.affiliation: Division of Vascular Surgery, Regional Hospital S.M., Treviso, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Sogaro
authors.forename: E
authors.initials: E
authors.lastname: Galeazzi
authors.forename: D
authors.initials: D
authors.lastname: Amroch
authors.forename: L
authors.initials: L
authors.lastname: Ganassin
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical; D001166:Arteriovenous Shunt, Surgical; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D005260:Female; D005528:Foot / Q000098:blood supply; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D016909:Tibial Arteries / Q000000981:diagnostic imaging / Q000601:surgery; D014680:Veins / Q000637:transplantation*