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Tibial artery bypass.

M Stephen, J Loewenthal, J M Little

    Archives of Surgery (Chicago, Ill. : 1960)
    |March 1, 1976
    PubMed
    Summary
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    This study on tibial bypasses found that autogenous saphenous vein grafts offer a reasonable prognosis for patients with advanced ischemic disease. However, late mortality remains a significant concern in this patient group.

    Area of Science:

    • Vascular Surgery
    • Peripheral Artery Disease

    Background:

    • Advanced ischemic disease significantly impacts limb prognosis.
    • Tibial bypass grafting is a critical intervention for limb salvage.

    Purpose of the Study:

    • To evaluate the outcomes of tibial bypass procedures.
    • To assess the patency rates and survival associated with tibial bypasses.

    Main Methods:

    • Retrospective review of 29 tibial bypass cases.
    • Utilized autogenous saphenous vein in 27 cases.
    • Assessed graft patency using electromagnetic flowmeter studies and intraoperative arteriography.

    Main Results:

    • 21 of 29 bypasses remained patent for an average of 13.2 months.
    • Autogenous saphenous vein was the primary conduit.

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  • Peroneal artery bypass yielded results comparable to anterior and posterior tibial artery bypasses.
  • Electromagnetic flowmeter studies proved useful for patency assessment.

    • Conclusions:

    • Tibial bypass surgery offers a viable option for limb salvage in patients with open tibial vessels and advanced ischemic disease.
    • Late mortality is a considerable factor in this patient population.
    • The use of the peroneal artery is a suitable alternative for tibial bypass.