EXPERIENCE WITH POPLITEAL-INFRAPOPLITEAL BYPASS-GRAFTING

  • 1 January 1982
    • journal article
    • research article
    • Vol. 154  (2) , 238-240
Abstract
Ten patients with severe infrapopliteal arterial occlusive disease underwent 11 vein bypasses confined to the below-knee segment. Previous reconstructions of the femoral and proximal popliteal arteries were done in 3 limbs and were all patent at the time the distal bypass was performed. Eight limbs had minimal or no occlusive disease in the femoral and popliteal arteries and had no previous proximal arterial reconstruction. Tissue loss or rest pain was the indication for operation in all patients. There were no deaths. Two grafts occluded within 24 h. Seven remained patent from 2-48 mo. Arteriography, including complete evaluation of the pedal vasculature, is needed to select these patients properly. Vein bypass grafts limited to the below-knee segment may be a useful alternative in selected patients to the more traditional femoroinfrapopliteal bypass grafts.

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