Prospective randomized study on reversed saphenous vein infrapopliteal bypass to treat limb-threatening ischemia: common femoral artery versus superficial femoral or popliteal and tibial arteries as inflow

Journal of Vascular Surgery
Enzo BallottaGiuseppe Da Giau

Abstract

Use of inflow sources distal to the common femoral artery (CFA) for bypass to infrapopliteal arteries is a compromise measure when the length of the vein is not adequate. The purpose of this study was to compare the clinical outcome of vein infrapopliteal bypass arising from the CFA and from the distal superficial femoral or popliteal and tibial arteries in patients with limb-threatening ischemia. Over 13 years, 160 vein infrapopliteal vein bypass procedures (160 patients) were randomized into 2 groups, 80 with inflow arising from the CFA (group 1) and 80 with inflow from below the CFA (group 2). Patency and limb salvage rates were assessed with the Kaplan-Meier method. All patients underwent graft surveillance at discharge and at 30 days and 6 months after surgery, then every 6 months thereafter. Follow-up ranged from 30 days to 127 months (mean, 49 months). Groups were similar with regard to age, sex, and most atherosclerotic risk factors. Gangrene as an indication for surgery was statistically more frequent in group 1 (73.7% vs 48.7%; P = .002), whereas nonhealing ulcer and rest pain were statistically more frequent in group 2 (respectively, 51.2% vs 25%; P = .001 and 46.2% vs 28.7%; P = .03). No patients died during the per...Continue Reading

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Citations

Jan 1, 2014·Journal of Vascular Surgery·Enzo BallottaGiuseppe Da Giau
Jul 28, 2012·Annals of Vascular Surgery·Katja B C SchampClark J Zeebregts
Mar 15, 2011·Annals of Vascular Surgery·Kenneth R ZieglerAlan Dardik
Jan 29, 2011·Cardiovascular Revascularization Medicine : Including Molecular Interventions·David M SafleyDavid J Cohen
Nov 3, 2010·Annals of Vascular Surgery·Serdar DemirelGerhard Gamstätter
Dec 17, 2009·Seminars in Vascular Surgery·Michael S Conte
Dec 17, 2009·Seminars in Vascular Surgery·Amy B Reed
Mar 14, 2007·Annals of Vascular Surgery·Armando NataleIrene Baldi
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Dec 25, 2007·Journal of Vascular Surgery·Andres SchanzerMichael S Conte
May 1, 2007·Current Therapeutic Research, Clinical and Experimental·Shinsuke MiiKiyoshi Tanaka
May 28, 2014·Current Problems in Surgery·Mark L FriedellRobert R Carter
Mar 4, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S SarkarA M Seifalian
Aug 9, 2008·Vascular Medicine·David Paul Slovut, Timothy M Sullivan
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