Femoropopliteal bypass grafting for intermittent claudication: is pessimism warranted?
M. C. Donaldson and J. A. Mannick
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.
