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William E. Evans, MD; Victor M. Bernhard, MD

AMA Arch Surg. 1970;100(4):477-481.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Limb salvage with preservation of function is the goal of therapy in severe vascular insufficiency of the lower extremities. Attainment of this goal when disease is localized to the superficial femoral artery has been achieved in the majority of patients by femoral popliteal bypass grafting. Occasionally, patients are seen in whom the extent of occlusive involvement of the distal popliteal artery and its proximal branches limits the potential for success by this method. Delayed films taken during ateriography in these patients have frequently shown patency of the tibial and peroneal arteries in the lower leg. Tyson and DeLaurentis,¹ McGaughan,² Dale,³ Garrett et al,⁴ Noon et al,⁵ and Mannick and Hume⁶ have reported revascularization in such patients by extending bypass grafts to these vessels; results of these reports indicate the feasibility of limb salvage by this approach. Recent experience with 22 patients undergoing a total . . . [Full Text PDF of this Article]

Author Affiliations
Milwaukee

From the Division of Surgery, Marquette School of Medicine, Milwaukee.

Footnotes
Accepted for publication Dec 10, 1969.

Read before the 77th annual meeting of the Western Surgical Association, Dallas, Nov 21, 1969.

Reprint requests to 8700 W Wisconsin Ave, Milwaukee 53226 (Dr. Evans).

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