[Vena saphena magna in situ bypass to the ankel and foot. A prospective assessment of results of 101 procedures in 94 patients with threatening amputation].
The results of 101 in situ by-pass operations to the ankle and foot are given. Seventy-five percent of the patients had other arteriosclerotic manifestations and 55% were diabetics. Ninety-nine percent of the operations were limb salvage surgery. The accumulative secondary patency rate was 87% after one month and 65% after three years. The results did not differ from by-pass surgery to the crural arteries. The wound complication rate was 16% with an infection rate of 7% and the major amputation rate was 8% after one month and 10% after three years. The survival of this selected group of patients was lower than a group of sex- and age-matched controls. The long term results of this type of advanced by-pass surgery in limb threatening ischaemia are very satisfactory and should be a must in every vascular surgeon's armamentarium.
Røder
O C
OC
Karkirurgisk afdeling RK, Rigshospitalet.
Jensen
L P
LP
Schroeder
T V
TV
Lorentzen
J E
JE
D000368:Aged; D000671:Amputation, Surgical; D000714:Anastomosis, Surgical / Q000379:methods*; D000842:Ankle / Q000098:blood supply / Q000601:surgery; D001161:Arteriosclerosis / Q000503:physiopathology / Q000601:surgery*; D003925:Diabetic Angiopathies / Q000503:physiopathology / Q000601:surgery*; D017719:Diabetic Foot / Q000503:physiopathology / Q000601:surgery; D005528:Foot / Q000098:blood supply / Q000601:surgery; D006801:Humans; D007866:Leg / Q000098:blood supply / Q000601:surgery; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D012501:Saphenous Vein / Q000601:surgery*