Kosin Med J.  2011 Dec;26(2):161-166.

Results of Bypass Surgery in Patients with Atherosclerosis Obliterans of the Lower Extremities

• Cho SH

Abstract

OBJECTIVES
This study was performed to study the outcomes of operations in the patients with atherosclerosis obliterans of lower extremities.
METHODS
Forty patients underwent vascular bypass operations from January 2006 to December 2010 and were analyzed retrospectively with clinical records.
RESULTS
Forty six bypassing procedures were performed in 40 limbs. The type of operations were femoro-popliteal bypass in 29 limbs, femoro-femoral bypass in 15 patiens and popliteo-posterior tibial bypass in 2 limbs. Forty three procedure were done with polytetrafluoroethylene(PTFE) graft and 3 were done with great saphenous vein. The cumulative patency rates of 5years was 58.9% respectively. In two patients, amputations of the lower extremities were done. Reoperations were performed in 9 patients.
CONCLUSIONS
A thoughtful management can prevent the progress of atherosclerosis obliterans(ASO) and may preserve the function of lower limb. In this study, bypass surgery using PTFE and great saphenous vein as conduit revealed acceptable patency rate.

Keyword

Atherosclerosis obliterans; Bypass; PTFE

MeSH Terms

Amputation
Atherosclerosis
Extremities
Humans
Lower Extremity
Polytetrafluoroethylene
Retrospective Studies
Saphenous Vein
Transplants
Polytetrafluoroethylene