[Pedal bypass in the treatment of ischemic diabetic foot].
OBJECTIVE
The aim of this retrospective analysis was assessment of both patency and limb salvage rates of diabetic ischemic feet which underwent pedal bypass surgery within the period of 3 years.


METHODS
Authors evaluated 50 critically ischemic diabetic feet where the pedal bypass was indicated for limb salvage. Total 41 pedal bypasses were performed and median follow-up was 16.7 months (1-39). The free muscle transfer were performed either in one session with or subsequently after the pedal bypass surgery in six limbs.


RESULTS
Authors achieved 61% and 76% graft patency and limb salvage rates, respectively, within the median 16.7 months follow-up. All successfully revascularised feet healed up within the median period of 3 months postoperatively. No patient died within 30 days postoperatively.


CONCLUSIONS
We conclude, that pedal bypass is safe procedure with acceptable limb salvage rate in the medium-term follow-up. Surgeons can markedly extend an indication criterions for limb salvage by exploiting of this technique.
Tosenovský
P
P
Klinika transplantacní chirurgie IKEM, Praha.
Zálesák
B
B
Adamec
M
M
Janousek
L
L
Moravec
M
M
Jirkovská
A
A
D000328:Adult; D003925:Diabetic Angiopathies / Q000601:surgery*; D017719:Diabetic Foot / Q000601:surgery*; D005260:Female; D005528:Foot / Q000098:blood supply* / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D023821:Limb Salvage; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014656:Vascular Surgical Procedures / Q000379:methods*