Related Experiment Video
Updated: Aug 11, 2026

Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model
Published on: November 24, 2014
Femoropopliteal bypass grafting for intermittent claudication: is pessimism warranted?
Insights
Femoropopliteal reconstructions effectively relieved disabling claudication symptoms in patients. This surgical intervention demonstrated high graft patency rates and minimal complications, offering a viable solution for superficial femoral artery disease.
Area of Science:
- Vascular Surgery
- Peripheral Artery Disease
Background:
- Intermittent claudication significantly impacts quality of life.
- Superficial femoral artery occlusive disease is a common cause of lower limb ischemia.
Purpose of the Study:
- To evaluate the long-term outcomes of femoropopliteal reconstructions for disabling claudication.
- To assess graft patency and patient limb salvage rates.
Main Methods:
- Retrospective analysis of 51 femoropopliteal reconstructions in 43 patients from 1965-1979.
- Life table analysis used to determine cumulative graft patency.
Main Results:
- All patients experienced symptom relief post-surgery.
- 93% two-year and 88% five-year cumulative graft patency.
- No operative mortality; one early graft failure; one limb loss over 12 years.
Conclusions:
- Femoropopliteal grafting is a safe and effective treatment for disabling claudication due to superficial femoral artery disease.
- The procedure offers durable limb salvage and symptom relief for active individuals.
Abstract:
From 1965 to 1979, 43 consecutive patients underwent 51 femoropopliteal reconstructions to relieve disabling claudication. This represented 17% of 298 femoropopliteal and femorotibial reconstructions performed by the same surgical team during this period of time. All patients operated on for claudication experienced relief of symptoms after surgery. There was no operative mortality and there was only one case of immediate graft failure. Cumulative graft patency was 93% at two years and 88% at five years by life table analysis. One patient who underwent below-knee amputation 12 years after his initial femoropopliteal graft was the only patient who lost a limb at any time during the follow-up period. On the basis of this experience, we now offer femoropopliteal grafting to any active individual who is disabled by intermittent claudication on the basis of superficial femoral artery occlusive disease.
More Related Videos
09:04Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
05:25Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft
Published on: September 15, 2023
Related Concept Videos
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease V: Postoperative Nursing Management