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

STAFFA, Robert, Zdeněk KŘÍŽ and 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. 2010. ISSN 1214-3901.

Basic information

• Original name: Pedal Bypass Grafting in the Treatment of Chronic Critical Lower Extremity Ischaemia
• Authors: STAFFA, Robert, Zdeněk KŘÍŽ and Jan BUČEK.
• Edition: Central European Vascular Journal (CEVJ) 2010; 9 (1): 12-13. 2010.

Other information

• Original language: English
• Type of outcome: Conference abstract
• Field of Study: 30200 3.2 Clinical medicine
• Country of publisher: Czech Republic
• Confidentiality degree: is not subject to a state or trade secret
• Organization unit: Faculty of Medicine
• ISSN: 1214-3901

Abstract

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.