Bypass grafting for the treatment of critical lower limb ischemia with distal single outflow artery: an analysis of 39 cases
- VernacularTitle:远端流出道不良致严重下肢缺血39例的旁路移植术分析
- Author:
Yongquan GU
;
Jian ZHANG
;
Lixing QI
;
Zhonggao WANG
;
Hengxi YU
;
Jianxin LI
;
Xuefeng LI
;
Lianrui GUO
;
Shijun CUI
;
Tao LUO
;
Ruimin LIN
;
Zongjun DONG
- Publication Type:Journal Article
- Keywords:
Ischemia;
Leg;
Vascular surgical, procedures;
Arterial bypass grafting
- From:
Chinese Journal of General Surgery
1994;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate a bypass surgery for the treatment of critical lower limb ischemia. MethodsFourty-five limbs in 39 patients with single outflow artery underwent arterial bypass graft, including femoropopliteal artificial graft to single outflow artery with autograft in 21 limbs (46.7%) and popliteal artery to calf vessel in 10 limbs (22.2%). Results Among 39 patients, one died of respiratory failure 5 days post-op (death rate 2.6%); one suffered from artificial graft occlusion (2.6%). The patency rate of graft was 100% on discharge. Healing rate of foot ulcer was 30%. Conclusions It is difficult to reconstruct blood flow for critical ischemic limb with single outflow artery, but good result is still expected by distal lower limb bypass graft. Distal bypass can result in a limb salvage or lowering of amputation level, providing a better nutritional support for the healing of foot ulcer.
