title: Durability of the dorsalis pedis artery reconstruction in diabetics and nondiabetics: is there a difference?
abstract: Originally thought to be a disadvantaged outflow source, the dorsalis pedis artery is associated with excellent patency and limb salvage in the diabetic population. The aim of this study was to demonstrate that the dorsalis pedis artery is as durable in nondiabetics as in their diabetic counterparts. During a 21-year period from 1979 to 1999, 299 long lower limb bypasses to the dorsalis pedis artery were performed at our institution. Patient data and outcomes were reviewed from the vascular registry. Statistical analysis and patency rates were compared using chi-squared and log-rank analysis. This study confirms that the dorsalis pedis can be used as an outflow source with durability that is comparable in both diabetics and nondiabetics. No significant difference exists in morbidity, mortality and patency rates. In the nondiabetic, when the dorsalis pedis is the only patent distal vessel, amputation can be avoided if one considers this a suitable option as an outflow source.
authors.affiliation: Institute for Vascular Health and Disease, Albany Medical College, NY 12208, USA.
authors.forename: Dale
authors.initials: D
authors.lastname: Maharaj
authors.forename: Kathleen J
authors.initials: KJ
authors.lastname: Ozsvath
authors.forename: R Clement
authors.initials: RC
authors.lastname: Darling
authors.forename: Sean P
authors.initials: SP
authors.lastname: Roddy
authors.forename: Philip S K
authors.initials: PS
authors.lastname: Paty
authors.forename: Paul B
authors.initials: PB
authors.lastname: Krelenberg
authors.forename: Benjamin B
authors.initials: BB
authors.lastname: Chang
authors.forename: William E
authors.initials: WE
authors.lastname: Lloyd
authors.forename: Dhiraj M
authors.initials: DM
authors.lastname: Shah
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D048909:Diabetes Complications; D003925:Diabetic Angiopathies / Q000150:complications / Q000601:surgery*; D005260:Female; D005528:Foot / Q000098:blood supply*; D006083:Graft Occlusion, Vascular / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000601:surgery*; D016896:Treatment Outcome