The in situ great saphenous vein bypass for the treatment of lower limb ischemia
- VernacularTitle:原位大隐静脉旁路移植术治疗下肢缺血34例
- Author:
Hongru DENG
;
Qinghua WU
;
Yuya ZHANG
- Publication Type:Journal Article
- Keywords:
Ischemia;
Saphenous vein;
Vascular surgical procedures
- From:
Chinese Journal of General Surgery
2001;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the result of in situ great saphenouse vein bypass for the treatment of lower limb ischemia.MethodsFrom 1995 to 2000, 34 patients with femoro popliteal artery occlusive disease underwent in situ great saphenouse vein bypass using self made valvulotome in our hospital.The distal anastomosis was made on above knee popliteal artery in 3 cases, below knee popliteal artery in 16 cases, posterior tibial artery in 11 cases and anterior tibial artery in 4 cases, respectively.ResultsOn discharge, the rest pain disappeared in 26 cases and intermittent claudication disappeared in 7 cases, with average ankle/brachial index changing from 0 34(0～0 52) preoperatively to 0 78(0 48～1 2) postoperatively.The cumulative patency rate at 6,12,24,36 and 48 monthes were 91 18%?88 14%?84 99%?80 52%?80 52%,respectively.ConclusionIn situ great saphenouse vein bypass is effective for the treatment of lower limb arterial ischemia. The vein valve was disrupted successfully with self made valvulotome.
