[Correlation of extremity safety and method of reconstructive surgery on femoral-popliteal segment]

Long-term results of 660 reconstructive surgeries on the arteries of femoral-popliteal segment have been analyzed. In critical limb ischemia surgeries with PTFE grafts are most effective - in 5 years 77.1% of extremities were saved compared with 69.6% after autovenous reconstructions. Use of gelatinized velour dacron (GVD) grafts (when PTFE or autovenous grafts are absent) permits to save 62.4% of extremities in 5 years. Endarterectomies (EAE) and bypass surgeries with fluorolavsan (FL) grafts should not be regarded as surgeries of choice in critical limb ischemia. Safety of limbs after surgeries with PTFE, GVD and autovenous grafts performed in the stage of claudication does not differ significantly. Cumulative safety of extremities after EAE and bypass with FL grafts is worse but high. In the first month after surgery 29.3% of all amputations were performed, in the first six months - 47.8%.