Vein grafts to the peroneal artery

A series of 58 consecutive vein grafts to the peroneal artery is reviewed. The grafts were part of a total series of 144 attached to the tibial and peroneal vessels over a 10-year period for advanced ischemia. The initial salvage rate was 86%, the operative mortality rate was 3.4%, and cumulative patency rates at 12 and 36 months were 69.4% and 50.6%, respectively. The indications for the operation, techniques employed, and results are considered. The peroneal artery has valuable potential in the revascularization of the severely ischemic lower limb.