Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259


Turkish Journal of Vascular Surgery 1992 , Vol 1 , Issue 1
Distal bypass for limb salvage
Murat Kayabah1, Metin Özgür1, Fatih Ata Genç1, Şükrü Dilege1, Göksel Kalaycı1, Selçuk Baktıroğlu1, Mehmet Kurdoğlu1
1İstanbul Üniversitesi İstanbul Tıp Fakültesi Genel Cerrahi Anabilim Dalı, Damar Cerrahisi Ünitesi, İstanbul 23 patients with clinical stage III and IV arterial occlusive disease have undergone distal bypass proced=. for limb salvage. Doppler mapping or peroperative angiography was performed in all cases whom we could not have de¬tailed information about crural arteries with aortoperipheric angiography. Insitu saphaneous vein with aortoperipheric angiopraphie. Insitu sapheneous vein bypass technic was performed in all possible cases. Preoperative mean ABI as 0.26±0.12 (0-0.42). Postoperative mean value for ABI found 0.79±0.11 (0.46-1.20). 6 patients has undergone amputa¬tion because of occulusion of the bypass in the early period. We found 16 months patency rate as 60 % and limb salvage rate 80 % in ten patients whom we followed up. We found tibial and peroneal artery bypass procedures effective for limb salvage. Keywords :