Publication details

Pedal Bypass Grafting in the Treatment of Chronic Critical Lower Extremity Ischaemia

Authors

STAFFA Robert KŘÍŽ Zdeněk BUČEK Jan

Year of publication 2010
Type Conference abstract
MU Faculty or unit

Faculty of Medicine

Citation
Description Introduction: The patients who underwent pedal bypass grafting during the last decade were evaluated. Methods: In the 2/2000-7/2009 period, 110 pedal bypass procedures were carried out in 109 patients with chronic critical lower limb ischaemia. The group included 82 men (74.5 %) and 28 women (25.5 %) with an average age of 67 (range, 28-84) years. Of them, 73 (66.4 %) had diabetes. Gangrene or tissue loss was diagnosed in 93 limbs (84.5 %), rest pain was recorded in eight (7.3 %), acute thrombosis of crural arteries in five (4.5 %) and trauma in four (3.6 %) limbs. Results: At follow-up (average, 30 +- 26.4 months; range, 1.2 - 91.2 months), bypass occlusion occurred in 21 limbs; in eight of these, it was managed by early intervention. None of the patients died during the surgical procedure. The 30-day post-operative mortality was 1.8 %. The cumulative primary and secondary patency rates were 67.2 % and 69.5 %, respectively; the cumulative probability of limb salvage was 78.0 %. The data were statistically analysed. Conclusion: Pedal bypass grafting is an effective and safe method achieving very good long- term results.

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