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The Risk to Life and Limb

K. Craig Kent, MD; Magruder C. Donaldson, MD; Christopher E. Attinger, MD; Nathan P. Couch, MD; John A. Mannick, MD; Anthony D. Whittemore, MD

Arch Surg. 1988;123(10):1196-1198.

Abstract
• The current study was undertaken to examine the results of femoropopliteal bypass grafting with intermittent claudication as the indication. Of 1173 infrainguinal reconstructions carried out on our service during the past decade, 249 (21%) consecutive femoropopliteal grafts were performed for disabling claudication in 191 patients. The primary five-year cumulative patency rates were 78% for autogenous vein and 52% for polytetrafluoroethylene grafts. There were two (0.8%) 30-day operative deaths and a subsequent five-year amputation rate of 2.4% for both groups. Femoropopliteal reconstruction for claudication may therefore be carried out with acceptably low operative mortality and a subsequent amputation rate comparable with that anticipated from the natural history of the disease. While the five-year patency rate is significantly higher utilizing autogenous vein grafts, symptomatic relief may be expected with prosthetic grafts in approximately half the patients without incurring a higher risk of limb loss.

(Arch Surg 1988;123:1196-1198)

Author Affiliations
From the Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston.

Footnotes
Accepted for publication March 15, 1988.

Read before the 14th Annual Meeting of the New England Society for Vascular Surgery, Bretton Woods, NH, Sept 11, 1988.

Reprint requests to Department of Surgery, Brigham and Women's Hospital, Boston, MA 02115 (Dr Whittemore).

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