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THE JOURNAL OF CARDIOVASCULAR SURGERY
A Journal on Cardiac, Vascular and Thoracic Surgery
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
ORIGINAL ARTICLES VASCULAR PAPERS
The Journal of Cardiovascular Surgery 1998 February;39(1):19-23
Tibioperoneal bypass for popliteal arterial occlusion
Sugawara Y., Sato O., Miyata T., Kimura H., Namba T., Makuuchi M.
From the II Department of Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan
Objective. To clarify the clinical features of chronic arterial occlusive disease in which the main lesion occurs in the popliteal artery (OPA).
Experimental design. This was a retrospective study with a follow-up of 1 to 163 months.
Setting. A department of surgery in a university hospital.
Patients. Fifty-six patient who underwent tibioperoneal bypasses: 31 patients with OPA, and 25 with an extensive occlusive lesion from the femoral to popliteal artery (OFPA).
Intervention. All bypasses were performed using reversed saphenous veins under turniquet ischemia.
Measurements. The background of the patients and the surgical results, including long-term patency and postoperative arteriographic findings.
Results. Buerger’s disease occurred most commonly in the OPA group (49%) and arteriosclerosis obliterans occurred most commonly in the OFPA group (64%). The 3-year primary and secondary cumulative patency rates of the grafts for OPA were 72% and 85% respectively, and were comparable with those of OFPA. Arteriographic analyses carried out in the follow-up period revealed no occlusive progression in the inflow artery.
Conclusions. Popliteal-distal bypass is a reliable procedure in selected patients with OPA.