Femoro-crural in situ bypass
Lorentzen, J.E.; Schroeder, T.; Aabech, J.; Sørensen, S.
Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 60(4): 283-286
1989
ISSN/ISBN: 0009-4722 PMID: 2721305 Document Number: 347503
During a period of 21 months from April 1986, 108 in situ femoro-crural bypass procedures were performed. The indication for surgery was in all cases a limb threatening ischemia. Always the technique described by Leather et al. was used. All the patients had obstructive disease of the crural arteries, thus the distal anastomosis was performed in a single crural or pedal artery for 102, and for 40 at the level of the ankle or foot. 97 per cent of the patients were discharged from the hospital with a salved limb, the one year patency was 76 per cent and one year limb survival 90 per cent. In our hands the in situ technique has shown much better results than the reversed vein technique.