Follow-up and its importance for long-term pedal bypass functionality.
Pedal bypasses, for salvage of a critically ischaemic limb, demonstrate excellent long-term outcomes. However, regular follow-up of patients and timely detection and treatment of a contingent haemodynamically significant bypass stenosis, which could cause its thrombosis, are prerequisites. The authors report a case of femoropedal bypass graft in which regular duplex follow-up detected critical stenoses at 18 months and at 36 months. Patch-angioplasty (at 18 months) and percutaneous balloon angioplasty (at 36 months) preserved the long-term patency of this pedal bypass graft.
Staffa
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R
2nd Department of Surgery, St. Anne's Teaching Hospital Brno, Faculty of Medicine, Masaryk University Brno, Pekarská 53, 656 91 Brno, Czech Republic. robert.staffa@fnusa.cz
Vlachovský
R
R
Vojtísek
B
B
D000368:Aged; D003266:Continuity of Patient Care; D003925:Diabetic Angiopathies / Q000601:surgery; D005528:Foot / Q000098:blood supply*; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D012086:Reoperation; D018608:Ultrasonography, Doppler