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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 1998 February;39(1):19-23

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

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


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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.

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