Intraoperative superficial femoral artery balloon angioplasty and popliteal to distal bypass graft: an option for combined open and endovascular treatment of diabetic gangrene

Journal of Vascular Surgery
P A SchneiderE S Hayman

Abstract

The purpose of this study was to evaluate the results of combining intraoperative balloon angioplasty (IBA) of the superficial femoral artery (SFA) with distal bypass graft originating from the popliteal artery as a method of lower extremity revascularization in diabetic patients with gangrene. Among 380 infrainguinal bypass grafts performed over a 6-year period, there were 110 reversed saphenous vein bypass grafts to the tibial or pedal arteries to treat diabetic patients with gangrene. Diffuse infrainguinal disease was treated with femoral-distal bypass graft (long; n = 46). Popliteal-distal bypass graft was performed when the inflow femoral artery was not significantly diseased (short; n = 52). Focal SFA stenosis and severe infrageniculate disease were treated with combined IBA of the SFA and distal bypass graft originating from the popliteal artery (combined; n = 12). Follow-up was performed with duplex scan surveillance of both the bypass graft and IBA sites. Treatment groups were compared with life-table analysis. There were no perioperative graft failures or amputations. The perioperative mortality rate was 1% (1 of 110). The 2-year primary patency rates were similar in the three groups: 72% in the long bypass graft grou...Continue Reading

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Citations

Sep 6, 2015·Diabetes/metabolism Research and Reviews·R J HinchliffeUNKNOWN International Working Group on the Diabetic Foot
Jul 28, 2012·Annals of Vascular Surgery·Katja B C SchampClark J Zeebregts
Nov 3, 2010·Annals of Vascular Surgery·Serdar DemirelGerhard Gamstätter
Dec 17, 2009·Seminars in Vascular Surgery·Amy B Reed
Apr 11, 2009·Annals of Vascular Surgery·David Paul Slovut, Timothy M Sullivan
Dec 17, 2008·Seminars in Vascular Surgery·Amy B Reed
Aug 31, 2007·Annals of Vascular Surgery·David P Slovut, Christopher A Demaioribus
Feb 14, 2007·Journal of Vascular and Interventional Radiology : JVIR·Antonio Raffaele CotroneoGiuseppe Marano
Mar 8, 2006·Journal of Vascular Surgery·Maximiano AlbersCarlos Alberto Bragança Pereira
Apr 2, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J R W BrownriggR J Hinchliffe
May 22, 2010·Journal of Vascular Surgery·Hasan H DosluogluMaciej L Dryjski
Dec 30, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C SetacciJ Apelqvist
Jul 21, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G A AntoniouA D Giannoukas
Dec 30, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M LepäntaloA H Davies
Feb 18, 2014·Annals of Vascular Surgery·Christos ArgyriouMiltos Lazarides
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Nov 7, 2012·Angiology·Efstratios GeorgakarakosMiltos K Lazarides
Mar 29, 2014·Experimental and Therapeutic Medicine·Jin Hyun JohHo-Chul Park
Nov 24, 2020·World Journal of Surgery·Matthew Blecha, Vivian Gahtan
Jan 20, 2021·The Journal of Cardiovascular Surgery·Muzzafer A ChauderyHany Zayed
Jun 5, 2019·Journal of Vascular Surgery·Michael S ConteUNKNOWN GVG Writing Group

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