Ramírez SOA

Language: Spanish
References: 13
Page: 46-50
PDF size: 519.22 Kb.

ABSTRACT

Objective: To report the outcomes of patients underwent sequential distal inframaleolar by pass indicated by gangrene and extensive lesions of femoral popliteal and tibial vessels.
Patients and methods: Retrospective, longitudinal study from Excell database files, in a period of 5 years from June 2003 to June 2008, including patients with arterial occlusive disease, from femoral- popliteal to tibial vessels Rutherford category 6, TASC D treated with sequential distal bypass inframaleolar.
Results: From June 2003 to June 2008 we found 19 patients (17 %) of a total of 110 bypass operations. Thirteen women and six men, 100% with diabetes; 100% with critical ischemia with a presentation of 15 days to 4 months, two patients with only pelvic limb. The perioperative mortality was 0%, limb salvage was 85% with a primary patency of 84% and two years and 5 years patency of 57% (fourth deaths).
Conclusions: The highly specialized vascular surgery includes this type of technique and is still on a par with endovascular surgery with differences in: a) be invasive, b) warrant a considerable degree of surgical skill, c) and specially great value in our series, we consider a final surgery in patients with diabetes and critical ischemia.

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