PMID: 9166271May 1, 1997Paper

The concept of knee salvage: why does a failed femorocrural/pedal arterial bypass not affect the amputation level?

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
Y P PanayiotopoulosP R Taylor

Abstract

There is continued controversy over whether a failed distal bypass influences the level of amputation. This issue is important as the number of arterial bypass grafts undertaken for critical ischaemia is increasing, followed by an increasing number of failed grafts. Teaching hospital. STUDY DESIGN AND MATERIALS: A prospective analysis of 109 consecutive femorocrural/pedal bypass grafts performed between June 1991 and January 1995 on patients presenting with severe critical lower limb ischaemia (CLI) to a single vascular unit. A further 43 amputations for non-reconstructible distal disease were also analysed. Mortality, amputation, rehabilitation, survival and knee salvage rates. The Kaplan-Meier method was used for comparison of factors associated with knee preservation. Primary amputees had a higher in-hospital mortality (18% vs. 10%) but similar 3 year survival rates (30%) compared with secondary amputees (36.6%). Patients with successful grafts showed a trend towards better survival (61.9% at 3 years) compared to amputees (38.6% at 42 months, p = 0.061). Below- to above-knee amputation ratio was similar in the two groups (0.85 in secondary vs. 0.95 in primary amputees). Factors significantly associated with knee salvage at 3...Continue Reading

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Citations

Aug 16, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M J TangelderB C Eikelboom
Dec 31, 1997·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·H Dardik
Apr 30, 2005·The International Journal of Lower Extremity Wounds·Christos Lioupis
Jul 13, 2000·Prosthetics and Orthotics International·M Eneroth
Jan 8, 2021·Vascular Medicine·Filippo BenedettoFrancesco Spinelli
Jul 13, 2001·Annales de chirurgie·C FusettiM Merlini
Jun 5, 2019·Journal of Vascular Surgery·Michael S ConteUNKNOWN GVG Writing Group
Jun 11, 2021·Circulation Research·Joshua A BeckmanMichael S Conte

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