Aggressive arterial reconstruction for critical lower limb ischaemia
| Autor: | C. P. Shearman, N. C. Hickey, M H Simms, Ian Thomson |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Male
medicine.medical_specialty Reconstructive surgery Time Factors Ischemia Arterial reconstruction Critical lower limb ischaemia Long Saphenous Vein medicine Humans Popliteal Artery Saphenous Vein Prospective Studies Derivation Vein Polytetrafluoroethylene Vascular Patency Aged Ultrasonography Aged 80 and over Leg medicine.diagnostic_test business.industry Middle Aged medicine.disease Blood Vessel Prosthesis Surgery Femoral Artery medicine.anatomical_structure Angiography Female business |
| Zdroj: | British Journal of Surgery. 78:1476-1478 |
| ISSN: | 1365-2168 0007-1323 |
| Popis: | A consecutive series of 315 patients underwent arterial reconstruction for 329 critically ischaemic lower limbs over a 5-year period. Patients were not excluded from limb salvage surgery on the basis of poor run-off on preoperative angiography. Femorocrural bypass to a single calf vessel was required in 239 limbs (73 per cent); the 30-day cumulative mortality rate was 7 per cent, rising to 41 per cent at 5 years. Cumulative graft patency at 30 days, 1 year, 2 years and 5 years was 96, 85, 84 and 82 per cent respectively and was independent of the level of reconstruction. In situ long saphenous vein was the conduit of choice for distal bypass but, when this was absent, satisfactory results were obtained with arm vein or composite vein grafts. Acceptable results can be obtained for reconstructive surgery without preoperative angiographic selection of patients. An aggressive approach to limb salvage is therefore justified. |
| Databáze: | OpenAIRE |
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