[Superficial femoral artery autotransplantation for popliteal artery damage: a good solution?].
We chose not to use a vein to bypass a popliteal artery lesion in four preferring to perform an autotransplantation of a proximal segment of the homolateral superficial femoral artery. The proximal arterial segment translated downstream being replaced by a synthetic graft. This approach was used to treat a popliteal aneurysm in two patients and cystic adventitiel disease in two others. The great saphenous was unfit for bypass in two patients. One patient died with a patent transplant nine Months after surgery due to an unrelated urological problem. The other three patients were alive and symptom free, at least forty-two Months after surgery. All three had a patent transplant despite obstruction of the proximal synthetic bypass in one patient. Provided that the outcome in a larger number of cases confirms these favourable results, we think that this technique offers an attractive alternative to venous bypass, at least whenever a venous graft cannot be used.
Puppinck
P
P
Service de chirurgie vasculaire, du GHICL et de la Faculté libre de Médecine de Lille. Puppinck.Paul@ghicl.net
Chevalier
J
J
Ducasse
E
E
Dasnoy
D
D
D000368:Aged; D000783:Aneurysm / Q000601:surgery*; D005260:Female; D005263:Femoral Artery / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011150:Popliteal Artery; D013997:Time Factors; D014182:Transplantation, Autologous / Q000379:methods*