ORIGINAL ARTICLES  VASCULAR PAPERS 

The Journal of Cardiovascular Surgery 2000 October;41(5):753-8

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Is semi-closed endarterectomy of the superficial femoral artery combined with a short venous bypass in case of insufficient venous material an acceptable alternative for limb-threatening ischemia?

Rijbroek A., Vermeulen E. G. J., Wisselink W., Rauwerda J. A.

From the Department of General Surgery Vascular Surgical Unit University Hospital “Vrije Universiteit” Amsterdam, The Netherlands

Background. The aim of ­this ­study was to ana­lyse the ­results of infra­gen­u­al arte­ri­al revas­cu­lar­isa­tion ­using sem­i­closed endar­te­rec­to­my of the super­fi­cial femo­ral ­artery com­bined ­with a ­short ­venous ­bypass in ­patients ­with crit­i­cal leg ische­mia and insuf­fi­cient ­venous mate­ri­al for a straight­for­ward fem­o­roc­ru­ral recon­struc­tion.
Methods. From December 1990 ­through December 1998 thir­ty ­patients ­were stud­ied (22 ­males and 8 ­females; ­mean age 65 ­years, ­range 31-92 ­years). The ­mean fol­low-up was 26 ­months (­range 1-96 ­months). Cumulative pri­mary paten­cy and ­limb sal­vage ­rates ­were cal­cu­lat­ed accord­ing to ­life-­table anal­y­sis.
Results. The cumu­la­tive pri­mary paten­cy was 60.3% at 1 ­year and 48.4% at 3 ­years. The ­limb sal­vage ­rate was 68.6% at 1 and at 3 ­years.
Conclusions. In ­patients ­with ­limb-threat­en­ing ische­mia and ­lack of ­venous mate­ri­al for a straight­for­ward ­venous fem­o­roc­ru­ral ­bypass, ­semi-­closed endar­te­rec­to­my of the super­fi­cial femo­ral ­artery com­bined ­with a ­short pop­li­teo-cru­ral ­bypass pro­vides a ­good alter­na­tive.