Pedal Bypass Grafting in the Treatment of Chronic Critical Lower Extremity Ischaemia

STAFFA, Robert, Zdeněk KŘÍŽ a Jan BUČEK. Pedal Bypass Grafting in the Treatment of Chronic Critical Lower Extremity Ischaemia. In Central European Vascular Journal (CEVJ) 2010; 9 (1): 12-13. ISSN 1214-3901. 2010.

Základní údaje

• Originální název: Pedal Bypass Grafting in the Treatment of Chronic Critical Lower Extremity Ischaemia
• Autoři: STAFFA, Robert, Zdeněk KŘÍŽ a Jan BUČEK.
• Vydání: Central European Vascular Journal (CEVJ) 2010; 9 (1): 12-13. 2010.

Další údaje

• Originální jazyk: angličtina
• Typ výsledku: Konferenční abstrakt
• Obor: 30200 3.2 Clinical medicine
• Stát vydavatele: Česká republika
• Utajení: není předmětem státního či obchodního tajemství
• Organizační jednotka: Lékařská fakulta
• ISSN: 1214-3901

Anotace

Introduction: The patients who underwent pedal bypass grafting during the last decade were evaluated. Methods: In the 2/2000-7/2009 period, 110 pedal bypass procedures were carried out in 109 patients with chronic critical lower limb ischaemia. The group included 82 men (74.5 %) and 28 women (25.5 %) with an average age of 67 (range, 28-84) years. Of them, 73 (66.4 %) had diabetes. Gangrene or tissue loss was diagnosed in 93 limbs (84.5 %), rest pain was recorded in eight (7.3 %), acute thrombosis of crural arteries in five (4.5 %) and trauma in four (3.6 %) limbs. Results: At follow-up (average, 30 +- 26.4 months; range, 1.2 - 91.2 months), bypass occlusion occurred in 21 limbs; in eight of these, it was managed by early intervention. None of the patients died during the surgical procedure. The 30-day post-operative mortality was 1.8 %. The cumulative primary and secondary patency rates were 67.2 % and 69.5 %, respectively; the cumulative probability of limb salvage was 78.0 %. The data were statistically analysed. Conclusion: Pedal bypass grafting is an effective and safe method achieving very good long- term results.