Pontages femoro-jambiers. A propos de 106 pontages consecutifs. [Femorotibial bypass. Apropos of 106 consecutive cases]

Details

Serval ID
serval:BIB_E5D153653D7E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Pontages femoro-jambiers. A propos de 106 pontages consecutifs. [Femorotibial bypass. Apropos of 106 consecutive cases]
Journal
Journal de Chirurgie
Author(s)
Von Segesser  L., Faidutti  B.
ISSN
0021-7697
Publication state
Published
Issued date
07/1984
Peer-reviewed
Oui
Volume
121
Number
6-7
Pages
401-9
Notes
English Abstract
Journal Article --- Old month value: Jun-Jul
Abstract
Tibiofemoral bypass operations were performed in 106 patients with stage III or IV lower limb arterial insufficiency. Follow-up has been for from 1 to 14 years. Results of arteriography, the operative technique used and the choice of bypass material (which should be the internal saphenous vein for preference) are discussed. Permeability was still present in 73% of cases after one year, 66% after 3 years, 62% after 5 years and 57% after 10 years. The incidence of amputation was less than that of obstructed by-passes. Treatment failures are analyzed as a function of the distal network, i.e. the receiving artery, and as a function of distal lesions and material employed. Confirmation was obtained of the superiority of autologous venous bypass material, taking into account the negative selection in cases with a prosthetic shunt. A lower limb with arterial insufficiency and menaced with amputation can often be saved, even when arterial lesions extend beyond the popliteal segment.
Keywords
Adult Aged Arterial Occlusive Diseases/*surgery Arteries/surgery Blood Vessel Prosthesis Female Femoral Artery/*surgery Follow-Up Studies Humans Leg/*blood supply Male Middle Aged Postoperative Complications Saphenous Vein/transplantation Tibia/*blood supply Time Factors Veins/transplantation
Pubmed
Web of science
Create date
14/02/2008 14:17
Last modification date
20/08/2019 16:09
Usage data