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Garland D. Perdue, MD; Robert B. Smith, III, MD; Charles R. Veazey, MD; Joseph D. Ansley, MD

Arch Surg. 1980;115(2):168-171.

Abstract
• Patients with rest pain or tissue necrosis (generally correlated with a tibial-brachial pressure index of less than 0.25) have a high probability of limb loss unless revascularization is done. These problems are usually associated with extensive and multiple segments of anatomical occlusive disease. A review of 359 patients with such problems indicates that revascularization was done in 86%, with initial success in 92% of patients. The durability of successful limb preservation proved good, with 90% of patients having a comfortable, useful limb to time of death or for one year or longer after operation. Cumulative patency rates were 90% at five years for aortofemoral reconstructions, 70% at five years for femoropopliteal bypasses, and 49% at five years for femorotibial grafts. Cumulative limb salvage rates were 93%, 81%, and 67% at five years in the same categories, respectively.

(Arch Surg 115:168-171, 1980)

Author Affiliations
From the Joseph Brown Whitehead Department of Surgery, Emory University School of Medicine, Atlanta.

Footnotes
Accepted for publication June 8, 1979.

Read in part before the International Cardiovascular Society, Tokyo, Sept 1, 1977.

Reprint requests to 1365 Clifton Rd NE, Atlanta, GA 30322 (Dr Perdue).

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