[Pedal bypass--ten years experience]

Area of Science:

• Vascular Surgery
• Reconstructive Surgery
• Diabetology

Context:

• 110 patients with limb-threatening ischemia underwent pedal bypass surgery between October 2000 and July 2009.
• All patients had exhausted endovascular and conservative therapy options.
• The study focuses on outcomes in patients with critical limb ischemia.

Purpose:

• To evaluate the efficacy of pedal bypass surgery in limb salvage.
• To assess the long-term patency rates of pedal bypasses.
• To investigate the influence of diabetes mellitus on pedal bypass outcomes.

Summary:

• The study reports a 78.0% cumulative probability of limb salvage and 67.2% primary patency for pedal bypasses.
• Early postoperative mortality was 1.8%, with 21 bypass occlusions during a mean follow-up of 30 months.
• Restoration of patency was achieved in 8 of 21 occlusions through early intervention.
• Diabetes mellitus was analyzed for its effect on bypass patency and limb salvage.

Impact:

• Pedal bypass surgery is a viable option for limb salvage in complex cases.
• Understanding the impact of diabetes is crucial for optimizing patient selection and management.
• The findings contribute to the evidence base for treating critical limb ischemia.