PMID: 9551050Apr 29, 1998Paper

Outcome of infrainguinal bypass surgery for critical leg ischaemia in patients with chronic renal failure

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
S PeltonenM Lepäntalo

Abstract

To determine whether infrainguinal bypass surgery is worthwhile in patients with critical limb ischaemia (CLI) and chronic renal failure. Longitudinal observational study. Twenty-two patients with moderate renal failure indicated by serum creatinine level above 150 mumol/l, 10 patients with end-stage renal disease requiring dialysis, and three patients with functioning kidney transplant, underwent 39 bypass procedures for critical limb ischaemia. Six femoropopliteal, 14 femorocrural and 19 femoropedal bypasses were performed. The immediate, 1-month, and 1-year primary patency rates were 97%, 84% and 70%, respectively. The limb salvage was 93% at 1-month and 72% at 1-year follow-up. One-year patency and leg salvage rates were 81% and 79% in non-dialysis patients, and 47% and 37% in dialysis patients. At 1-year follow-up, 55% of surviving patients had salvaged limbs. None of the patients in dialysis was alive with salvaged legs 4 months after revascularisation. Among preoperative risk factors, only serum creatinine showed a statistical significance in predicting leg salvage and survival. As the outcome of patients on dialysis is very poor after infrainguinal bypass grafting, revascularisation is seldom indicated. On the contrary,...Continue Reading

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Citations

Nov 26, 2002·World Journal of Surgery·Hiroshi YasuharaHirokazu Nagawa
May 30, 2008·Cardiovascular and Interventional Radiology·Irene BargelliniCarlo Bartolozzi
Feb 20, 2002·The British Journal of Surgery·D J GerrardP R Taylor
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Jan 30, 2007·Journal of Vascular Surgery·Maximiano AlbersCarlos Alberto Bragança Pereira
May 24, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S T RashidG Hamilton
Dec 18, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E J Fitzgerald O'ConnorR J Hinchliffe
Jul 1, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·H YasuharaO Shigeta
Dec 12, 2012·Journal of Vascular Surgery·Maria SöderströmMaarit Venermo
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Mar 22, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E ArvelaM Lepäntalo

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