[Femoro-popliteal reconstructions: "in situ" versus "reversed" technique: comparative results].
BACKGROUND
Infrainguinal arterial reconstruction is a procedure with two main types of autologous venous grafts: reversed-vein bypass grafting, and the in situ bypass grafting. Both techniques have advantages and disadvantages, and the aim of this study was to compare the results of each technique.


METHODS
In the period from 1999 to 2003, 118 patients with infrainguinal arterial occlusive disease (IAOD) underwent reconstruction surgery at the Vascular and Transplantation Surgery Clinic in Novi Sad. 141 reconstruction procedures were performed using the autologous great saphenous vein. The patients were divided into two groups: group I included 72 patients with "in situ" bypass grafts and group II included 46 with 55 "reversed" bypass grafts. The postoperative function was evaluated by using a pocket-sized Doppler sonography, and by assessment of the postoperative increase in API in regard to preoperative values.


RESULTS
Statistical analysis of the investigated groups of patients and X2 showed that there were no statistically significant differences in postoperative patency, complication rate and number of salvaged limbs.


CONCLUSIONS
We can conclude that both investigated reconstruction techniques have advantages and minor disadvantages: they are applicable, safe and reliable and each has a specific range of indications.
Vukobratov
Vladimir
V
Institut za hirurgiju, Klinika za vaskularnu i transplantacionu hirurgiju, Klinicki centar "Novi Sad", Novi Sad.
Kaćanski
Milos
M
Pasternak
Janko
J
Nikolić
Dragan
D
Popović
Vladan
V
Obradović
Jovan
J
D001157:Arterial Occlusive Diseases / Q000601:surgery*; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007866:Leg / Q000098:blood supply*; D011150:Popliteal Artery / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation*; D014656:Vascular Surgical Procedures / Q000379:methods