ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Infrainguinal femoropopliteal bypass operations
Ali Rahman, Soner Azak
Fırat Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı, Elazığ
Background: We evaluated the results of infrainguinal femoropopliteal bypass operations.

Methods: Thirty-seven patients (30 males, 7 females; mean age 61 years; range 21 to 82 years) were retrospectively evaluated. Clinical results and graft patencies were determined.

Results: Distal anastomoses were placed at the level of popliteal artery trifurcation in 28 patients (75.7%), to the tibioperoneal trunk in one patient (2.7%), posterior tibial artery in four patients (10.8%), and anterior tibial artery in four patients. Reversed autogenous saphenous vein was used in 28 patients and polytetrafluoroethylene graft was used in nine patients. All patients receiving a synthetic graft were treated with anticoagulants. Mortality did not occur. Thrombectomy was performed in seven patients (18.9%) due to graft failure. One-year patency rate was 89.3% with autogenous saphenous veins, and 55.6% with synthetic grafts (p<0.05). Two major (5.4%) and three minor (8.1%) amputations were required.

Conclusion: Reversed autogenous saphenous vein should be the graft of choice in below-knee bypass operations. Adjuvant anticoagulant therapy may improve the patency rate in patients receiving a synthetic graft.

Keywords : Femoral artery/surgery; peripheral vascular diseases/ surgery; popliteal artery/surgery; saphenous vein/transplantation; vascular patency; vascular surgical procedures
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