title: [Pedal bypass occupies an irreplaceable position in the spectrum of vascular surgery interventions].
abstract: BACKGROUND
  Pedal bypass grafting has been the method of choice at Na Homolce Hospital's Vascular Surgery Department since 2008.
  
  
  RESULTS
  During the period from June 2008 to December 2011, 29 pedal bypass procedures were performed in 27 patients. No perioperative mortality was recorded. Early occlusion of the graft occurred in three patients and two patients experienced delayed occlusion. Loss of the limb as a result of graft occlusion was unavoidable in two cases and one amputation had to be performed despite a patent graft. The primary patency rate for the period under review is 82.75%, and we were able to salvage the limb in 89.65% of cases. Follow-up results for our cohort are comparable with those from other centres dealing with the same problem.
  
  
  CONCLUSIONS
  Pedal bypass has excellent early and long-term results and makes a significant contribution to reducing the number of major amputations of the lower limbs.
authors.affiliation: Oddelení cévni chirurgie Nemocnice Na Homolce, Praha. marek.slais@homolka.cz
authors.forename: Marek
authors.initials: M
authors.lastname: Slais
authors.forename: Petr
authors.initials: P
authors.lastname: Czinner
authors.forename: Zuzana
authors.initials: Z
authors.lastname: Korisková
authors.forename: Petr
authors.initials: P
authors.lastname: Vitásek
authors.forename: Libor
authors.initials: L
authors.lastname: Dvorácek
authors.forename: Petr
authors.initials: P
authors.lastname: Stádler
mesh_terms: D000075202:Contraindications; D003925:Diabetic Angiopathies / Q000503:physiopathology / Q000601:surgery*; D017719:Diabetic Foot / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D005528:Foot / Q000098:blood supply*; D006801:Humans; D014656:Vascular Surgical Procedures / Q000379:methods