Femoropopliteal graft failures. Clinical consequences and success of secondary reconstructions.
Arch Surg
; 118(9): 1043-7, 1983 Sep.
Article
en En
| MEDLINE
| ID: mdl-6615212
ABSTRACT
We examined 188 failed femoropopliteal grafts during a 16-year period to evaluate the clinical consequences of graft failure and success of secondary revascularization procedures. In limbs with grafts placed for claudication, conditions of 9% with failed grafts remained improved despite graft occlusion, 67% returned to preoperative status, and 24% showed worsened ischemia. One third of claudicants with failed grafts underwent secondary procedures. Ultimately, only 7% of failed grafts in claudicants resulted in amputation, and overall risk of limb loss in patients undergoing operation for claudication alone was low (2%). After failure of grafts performed for limb-salvage indications, 21% of limbs were still improved, and 79% reverted to limb-threatened status, more than half of the limbs undergoing subsequent reoperation. Overall, secondary attempts at reconstruction appeared justified. Although the five-year patency rate of such grafts was only 31%, limb salvage was achieved in 52%, with relatively low morbidity and mortality.
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Banco de datos:
MEDLINE
Asunto principal:
Arteria Poplítea
/
Bioprótesis
/
Prótesis Vascular
/
Arteria Femoral
/
Claudicación Intermitente
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Arch Surg
Año:
1983
Tipo del documento:
Article