Vena saphena magna in situ bypass to the ankel and foot. a prospective assessment of results of 101 procedures in 94 patients with threatening amputation
Røder, O.C.; Jensen, L.P.; Schroeder, T.V.; Lorentzen, J.E.
Ugeskrift for Laeger 159(32): 4846-4849
1997
ISSN/ISBN: 0041-5782 PMID: 9273756 Document Number: 471129
The results of 101 in situ by-pass operations to the ankle and foot are given. Seventy-five percent of the patients had other arteriosclerotic manifestations and 55% were diabetics. Ninety-nine percent of the operations were limb salvage surgery. The accumulative secondary patency rate was 87% after one month and 65% after three years. The results did not differ from by-pass surgery to the crural arteries. The wound complication rate was 16% with an infection rate of 7% and the major amputation rate was 8% after one month and 10% after three years. The survival of this selected group of patients was lower than a group of sex- and age-matched controls. The long term results of this type of advanced by-pass surgery in limb threatening ischaemia are very satisfactory and should be a must in every vascular surgeon's armamentarium.