Peroneal artery reconstruction via medial approach using tourniquet occlusion.
As peroneal artery bypass surgery is technically demanding, a simplified medial approach was used in 23 peroneal artery reconstructions in 21 patients between January 1993 and December 2001. The outcomes were reviewed retrospectively. Peroneal artery reconstruction was undertaken through a medial skin incision using tourniquet occlusion and saphenous vein grafts. Graft patency was confirmed by angiography or duplex color imaging. Peroneal bypass was possible through the medial approach in 20 cases; in 1 limb, the target was occluded. During a mean follow-up of 43.9 months, there were 4 graft occlusions. None of the failures was due to a technical error related to the procedure. All of the other patients had relief of their symptoms, including those who presented with disabling claudication. Technical improvements have made peroneal bypass a reasonable choice in below-knee arterial reconstruction. This technique should not be restricted to limb salvage.
Shindo
Shunya
S
Second Department of Surgery, Yamanashi Medical University, 1110 Shimokato, Tamaho-cho, Nakakoma-gun, Yamanashi 409-3898, Japan. sshindo@res.yamanashi-med.ac.jp
Ogata
Koji
K
Kubota
Kenji
K
Kojima
Atsuo
A
Kobayashi
Masahiro
M
Tada
Yusuke
Y
D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000601:surgery; D012189:Retrospective Studies; D014111:Tourniquets; D014654:Vascular Patency; D014656:Vascular Surgical Procedures