This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (22)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Is Pessimism Warranted?

Magruder C. Donaldson, MD; John A. Mannick, MD

Arch Surg. 1980;115(6):724-727.

Abstract
• From 1965 to 1979, 43 consecutive patients underwent 51 femoropopliteal reconstructions to relieve disabling claudication. This represented 17% of 298 femoropopliteal and femorotibial reconstructions performed by the same surgical team during this period of time. All patients operated on for claudication experienced relief of symptoms after surgery. There was no operative mortality and there was only one case of immediate graft failure. Cumulative graft patency was 93% at two years and 88% at five years by life table analysis. One patient who underwent below-knee amputation 12 years after his initial femoropopliteal graft was the only patient who lost a limb at any time during the follow-up period. On the basis of this experience, we now offer femoropopliteal grafting to any active individual who is disabled by intermittent claudication on the basis of superficial femoral artery occlusive disease.

(Arch Surg 115:724-727, 1980)

Author Affiliations
From the Department of Surgery, Harvard Medical School and the Peter Bent Brigham Hospital, Division of the Affiliated Hospitals Center Inc, Boston.

Footnotes
Accepted for publication Oct 12, 1979.

Reprint requests to 721 Huntington Ave, Boston, MA 02115 (Dr Mannick).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Functional Benefits of Peripheral Vascular Bypass Surgery for Patients with Intermittent Claudication
Regensteiner et al.
VASC ENDOVASCULAR SURG 1993;27:437-446.
ABSTRACT  

Functional Benefits of Peripheral Vascular Bypass Surgery for Patients with Intermittent Claudication
Regensteiner et al.
VASC ENDOVASCULAR SURG 1993;27:369-378.
ABSTRACT  

Functional Benefits of Peripheral Vascular Bypass Surgery for Patients with Intermittent Claudication
Regensteiner et al.
ANGIOLOGY 1993;44:1-10.
ABSTRACT  

Femoropopliteal Reconstruction for Claudication: The Risk to Life and Limb
Kent et al.
Arch Surg 1988;123:1196-1198.
ABSTRACT  

A Review of Structural and Material Properties of Vascular Grafts
Pourdeyhimi and Text
J Biomater Appl 1987;2:163-204.
ABSTRACT  

Polytetrafluoroethylene Grafts as the First-Choice Arterial Substitute in Femoropopliteal Revascularization
Quinones-Baldrich et al.
Arch Surg 1984;119:1238-1243.
ABSTRACT  

Progress in the Management of Peripheral Vascular Disease
Blau and Kerstein
VASC ENDOVASCULAR SURG 1982;16:172-184.
ABSTRACT