Long-term outcome of distal bypass

Although 30 years age reconstructive surgery on crural arteries was technically not feasible, primary successful revascularization is now possible in 95% of arterial occlusive diseases in the lower leg. If untreated, reocclusion of the graft occurs in 40 to 60% during the first postoperative year. W...

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Bibliographic Details
Published inLangenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Vol. 115; p. 538
Main Author Largiadèr, J
Format Journal Article
LanguageGerman
Published Germany 1998
Subjects
Angiography
Arterial Occlusive Diseases - diagnostic imaging
Arterial Occlusive Diseases - surgery
Fibromuscular Dysplasia - diagnostic imaging
Fibromuscular Dysplasia - surgery
Follow-Up Studies
Foot - blood supply
Graft Occlusion, Vascular - diagnostic imaging
Graft Occlusion, Vascular - surgery
Humans
Ischemia - diagnostic imaging
Ischemia - surgery
Leg - blood supply
Popliteal Artery - surgery
Reoperation
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Summary:Although 30 years age reconstructive surgery on crural arteries was technically not feasible, primary successful revascularization is now possible in 95% of arterial occlusive diseases in the lower leg. If untreated, reocclusion of the graft occurs in 40 to 60% during the first postoperative year. With a close, morphologically oriented follow-up routine, an assisted primary patency of up to 80% and an even higher secondary patency can be achieved. Myointimal proliferation is mostly responsible for bypass failure in the early postoperative period especially at the site of the distal anastomosis.
ISSN:0942-2854