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[10 years' experience with the in situ bypass]
Langenbecks Archiv Fur Chirurgie
|January 1, 1985
Insights
This study on femoropopliteal and femorotibial vein bypasses found good long-term patency rates. Intraoperative angiography is crucial for successful in situ vein bypass surgery.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Context:
- Analysis of 467 femoropopliteal and femorotibial in situ vein bypasses performed between 1974 and 1984.
- Utilized modified Hall strippers, necessitating intraoperative angiography to identify tributaries and technical errors.
Purpose:
- To evaluate the long-term efficacy and outcomes of in situ vein bypass procedures.
- To highlight the importance of intraoperative angiography in femoropopliteal and femorotibial bypass surgery.
Summary:
- Achieved overall cumulative patency rates of 84% at 2 years, decreasing to 67% at 10 years.
- Tibial bypasses specifically showed cumulative patency rates of 72% at 2 years, 68% at 5 years, and 68% at 8 years.
- Intraoperative angiography was essential for vein assessment and error detection.
Impact:
- Demonstrates the viability of in situ vein bypass for peripheral artery disease treatment.
- Provides valuable long-term patency data for femoropopliteal and femorotibial bypasses.
- Emphasizes the critical role of imaging in surgical success and patient outcomes.
Abstract:
From October 1, 1974 to March 31, 1984 467 femoropopliteal and femorotibial in situ vein bypasses were performed. Valvular incompetence is produced by the use of modified Hall strippers. The intraoperative angiography is mandatory to localize the tributaries and to detect pathological findings of the vein and technical errors. Overall cumulative patency rates were 84, 76, 71, and 67%, at 2, 5, 8 and 10 years. Cumulative patency rates for 117 tibial bypasses separately were 72, 68, and 68% at 2, 5 and 8 years.