THE MULTIPLE SEQUENTIAL DISTAL BYPASS GRAFT - IMPROVING NATURES ALTERNATIVES

  • 1 January 1981
    • journal article
    • research article
    • Vol. 89  (5) , 536-542
Abstract
Sequential femoral-distal bypass grafts were employed to revascularize 21 ischemic limbs. An end-to-side distal anastomosis, plus an additional side-to-side anastomosis to an isolated popliteal segment or distal tibial vessel, were employed. If 1 graft that underwent successful early revision is included, the initial patency rate was 100%. After a median follow-up of 8 mo., complete graft failure had occurred in 3 patients. A previously unreported occurrence in 2 patients was proximal graft segment occlusion, with patency of the distal segment that was successfully revascularized. One additional patient had occlusion of the distal graft segment. Limb salvage was achieved in 20 of 21 patients. This approach offers several hemodynamic advantages and may be the procedure of choice in patients with distal runoff that is not ideal for a routine femoropopliteal bypass graft.

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