Pedal bypass occupies an irreplaceable position in the spectrum of vascular surgery interventions
Authors:
MUDr. Marek Šlais; Petr Czinner; Zuzana Kořisková; Petr Vitásek; Libor Dvořáček; Petr Štádler
Authors‘ workplace:
Oddělení cévní chirurgie Nemocnice Na Homolce, Praha
Published in:
Čas. Lék. čes. 2011; 150: 289-292
Category:
Review Article
Overview
Background.
Pedal bypass grafting has been the method of choice at Na Homolce Hospital’s Vascular Surgery Department since 2008.
Methods and results.
During the period from June 2008 to December 2011, 29 pedal bypass procedures were performed in 27 patients. No perioperative mortality was recorded. Early occlusion of the graft occurred in three patients and two patients experienced delayed occlusion. Loss of the limb as a result of graft occlusion was unavoidable in two cases and one amputation had to be performed despite a patent graft. The primary patency rate for the period under review is 82.75%, and we were able to salvage the limb in 89.65% of cases.
Follow-up results for our cohort are comparable with those from other centres dealing with the same problem.
Conclusions.
Pedal bypass has excellent early and long-term results and makes a significant contribution to reducing the number of major amputations of the lower limbs.
Key words:
pedal bypass, diabetic foot syndrome, amputation.
Sources
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3. Pomposelli FB Jr, Marcaccio EJ, Gibbons GW, Campbell DR, FreemanDV, Burgess AM, et al. Dorsalis pedis arterial bypass: durable limb salvage for foot ischemia in patients with diabetes mellitus. J Vasc Surg 1995; 21: 375–384.
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8. Pomposelli FB, Kansai N, Hamdan AD, Belfield A, Sheahan M, Campbell DR, Skillman JJ, Logerfo FW. A decade of experience with dorsalis pedis artery bypass: Analysis of outcome in more than 1000 cases. J Vasc Surg 2003; 37: 307–315.
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Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
Journal of Czech Physicians
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