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 (33)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Arthur I. Auer, MD; Joseph J. Hurley, MD; H. Bradley Binnington, MD; Janice D. Nunnelee, RN; Falls B. Hershey, MD

Arch Surg. 1983;118(5):597-602.

Abstract
• Bypasses below the tibial peroneal trunk, which are not commonly performed, are an effective method of limb salvage. We have done long-term follow-up of all 148 consecutive grafts done during the past 19 years. By careful patient selection, detailed arteriograms, utilization of veins from all extremities, meticulous operating technique, and noninvasive follow-up, we have achieved a limb salvage rate of 75% and a cumulative five-year patency rate of 62%. Diabetics made up 53% of the series and did not affect the results. Seventy-one percent of all failures occurred in the first six months. Considering the charges for hospitalization, amputation, prostheses, and rehabilitation, distal tibial bypass procedures are cost-effective.

(Arch Surg 1983;118:597-602)

Author Affiliations
From the Department of Surgery, Vascular Section, St John's Mercy Medical Center, St Louis.

Footnotes
Accepted for publication Jan 24, 1983.

Read before the 90th annual meeting of the Western Surgical Association, Kansas City, Mo, Nov 16, 1982.

Reprint requests to 621 S New Ballas Rd, Suite 307, St Louis, MO 63141 (Dr Auer).

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

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Limb Salvage vs Amputation for Critical Ischemia: The Role of Vascular Surgery
Taylor et al.
Arch Surg 1991;126:1251-1258.
ABSTRACT  

A Flexible Approach to Infrapopliteal Vein Grafts in Patients With Diabetes Mellitus
Pomposelli et al.
Arch Surg 1991;126:724-729.
ABSTRACT  

Cost of Treating Advanced Leg Ischemia: Bypass Graft vs Primary Amputation
Raviola et al.
Arch Surg 1988;123:495-496.
ABSTRACT  

Totally Autogenous Venovenous Composite Bypass Grafts: Salvage of the Almost Irretrievable Extremity
Harris et al.
Arch Surg 1986;121:1128-1132.
ABSTRACT  

Successful Vein Bypass in Patients With an Ischemic Limb and a Palpable Popliteal Pulse
Cantelmo et al.
Arch Surg 1986;121:217-220.
ABSTRACT