In situ saphenous vein for lower extremity revascularization

C. B. Anderson, Scott Stevens, B. T. Allen, G. A. Sicard

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Background. During a 6-year period, 349 in situ saphenous vein bypass grafts were performed for limb salvage by three surgeons. Methods. Outflow anastomoses were constructed to the infrageniculate popliteal (25%), posterior tibial (20%), peroneal (20%), anterior tibial (19%), and dorsal pedal arteries (7%). Mean patient age was 70 1/2 years. Results. The 30-day mortality rate was 3.2%, and 19% died during the ensuing 68-month interval. At 1, 24, and 60 months primary graft patency was 89%, 77%, and 74%, secondary graft patency was 91%, 80%, and 78%, and cumulative limb survival was 94%, 88%, and 84%, respectively. Cumulative patency rates at 60 months depending on outflow site were as follows: popliteal (85%), anterior tibial (80%), posterior tibial (70%), dorsal pedal (68%), and peroneal (60%). Patency at the peroneal position was significantly inferior to that of other infrapopliteal sites combined (p < 0.05). Cumulative limb survival at 60 months, according to outflow site, was as follows: popliteal (95%), anterior tibial (85%), posterior tibial (78%), dorsal pedal (73%), and peroneal (67%). There was no significant difference in limb salvage among infrapopliteal outflow sites. However, patency rates and limb salvage were significantly better for the popliteal outflow site than the infrapopliteal outflow sites (p < 0.01). Conclusions. (1) A 5-year graft patency rate of 78% and a limb salvage rate of 84% are achievable, (2) peroneal bypass is associated with a lower rate for graft patency but not limb salvage, and (3) popliteal bypass has the best graft patency and limb salvage rates.

Original languageEnglish (US)
Pages (from-to)6-10
Number of pages5
JournalSurgery
Volume112
Issue number1
StatePublished - Jan 1 1992
Externally publishedYes

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Limb Salvage
Saphenous Vein
Lower Extremity
Transplants
Foot
Extremities
Arteries
Mortality

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Anderson, C. B., Stevens, S., Allen, B. T., & Sicard, G. A. (1992). In situ saphenous vein for lower extremity revascularization. Surgery, 112(1), 6-10.

In situ saphenous vein for lower extremity revascularization. / Anderson, C. B.; Stevens, Scott; Allen, B. T.; Sicard, G. A.

In: Surgery, Vol. 112, No. 1, 01.01.1992, p. 6-10.

Research output: Contribution to journalArticle

Anderson, CB, Stevens, S, Allen, BT & Sicard, GA 1992, 'In situ saphenous vein for lower extremity revascularization', Surgery, vol. 112, no. 1, pp. 6-10.
Anderson CB, Stevens S, Allen BT, Sicard GA. In situ saphenous vein for lower extremity revascularization. Surgery. 1992 Jan 1;112(1):6-10.
Anderson, C. B. ; Stevens, Scott ; Allen, B. T. ; Sicard, G. A. / In situ saphenous vein for lower extremity revascularization. In: Surgery. 1992 ; Vol. 112, No. 1. pp. 6-10.
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abstract = "Background. During a 6-year period, 349 in situ saphenous vein bypass grafts were performed for limb salvage by three surgeons. Methods. Outflow anastomoses were constructed to the infrageniculate popliteal (25{\%}), posterior tibial (20{\%}), peroneal (20{\%}), anterior tibial (19{\%}), and dorsal pedal arteries (7{\%}). Mean patient age was 70 1/2 years. Results. The 30-day mortality rate was 3.2{\%}, and 19{\%} died during the ensuing 68-month interval. At 1, 24, and 60 months primary graft patency was 89{\%}, 77{\%}, and 74{\%}, secondary graft patency was 91{\%}, 80{\%}, and 78{\%}, and cumulative limb survival was 94{\%}, 88{\%}, and 84{\%}, respectively. Cumulative patency rates at 60 months depending on outflow site were as follows: popliteal (85{\%}), anterior tibial (80{\%}), posterior tibial (70{\%}), dorsal pedal (68{\%}), and peroneal (60{\%}). Patency at the peroneal position was significantly inferior to that of other infrapopliteal sites combined (p < 0.05). Cumulative limb survival at 60 months, according to outflow site, was as follows: popliteal (95{\%}), anterior tibial (85{\%}), posterior tibial (78{\%}), dorsal pedal (73{\%}), and peroneal (67{\%}). There was no significant difference in limb salvage among infrapopliteal outflow sites. However, patency rates and limb salvage were significantly better for the popliteal outflow site than the infrapopliteal outflow sites (p < 0.01). Conclusions. (1) A 5-year graft patency rate of 78{\%} and a limb salvage rate of 84{\%} are achievable, (2) peroneal bypass is associated with a lower rate for graft patency but not limb salvage, and (3) popliteal bypass has the best graft patency and limb salvage rates.",
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N2 - Background. During a 6-year period, 349 in situ saphenous vein bypass grafts were performed for limb salvage by three surgeons. Methods. Outflow anastomoses were constructed to the infrageniculate popliteal (25%), posterior tibial (20%), peroneal (20%), anterior tibial (19%), and dorsal pedal arteries (7%). Mean patient age was 70 1/2 years. Results. The 30-day mortality rate was 3.2%, and 19% died during the ensuing 68-month interval. At 1, 24, and 60 months primary graft patency was 89%, 77%, and 74%, secondary graft patency was 91%, 80%, and 78%, and cumulative limb survival was 94%, 88%, and 84%, respectively. Cumulative patency rates at 60 months depending on outflow site were as follows: popliteal (85%), anterior tibial (80%), posterior tibial (70%), dorsal pedal (68%), and peroneal (60%). Patency at the peroneal position was significantly inferior to that of other infrapopliteal sites combined (p < 0.05). Cumulative limb survival at 60 months, according to outflow site, was as follows: popliteal (95%), anterior tibial (85%), posterior tibial (78%), dorsal pedal (73%), and peroneal (67%). There was no significant difference in limb salvage among infrapopliteal outflow sites. However, patency rates and limb salvage were significantly better for the popliteal outflow site than the infrapopliteal outflow sites (p < 0.01). Conclusions. (1) A 5-year graft patency rate of 78% and a limb salvage rate of 84% are achievable, (2) peroneal bypass is associated with a lower rate for graft patency but not limb salvage, and (3) popliteal bypass has the best graft patency and limb salvage rates.

AB - Background. During a 6-year period, 349 in situ saphenous vein bypass grafts were performed for limb salvage by three surgeons. Methods. Outflow anastomoses were constructed to the infrageniculate popliteal (25%), posterior tibial (20%), peroneal (20%), anterior tibial (19%), and dorsal pedal arteries (7%). Mean patient age was 70 1/2 years. Results. The 30-day mortality rate was 3.2%, and 19% died during the ensuing 68-month interval. At 1, 24, and 60 months primary graft patency was 89%, 77%, and 74%, secondary graft patency was 91%, 80%, and 78%, and cumulative limb survival was 94%, 88%, and 84%, respectively. Cumulative patency rates at 60 months depending on outflow site were as follows: popliteal (85%), anterior tibial (80%), posterior tibial (70%), dorsal pedal (68%), and peroneal (60%). Patency at the peroneal position was significantly inferior to that of other infrapopliteal sites combined (p < 0.05). Cumulative limb survival at 60 months, according to outflow site, was as follows: popliteal (95%), anterior tibial (85%), posterior tibial (78%), dorsal pedal (73%), and peroneal (67%). There was no significant difference in limb salvage among infrapopliteal outflow sites. However, patency rates and limb salvage were significantly better for the popliteal outflow site than the infrapopliteal outflow sites (p < 0.01). Conclusions. (1) A 5-year graft patency rate of 78% and a limb salvage rate of 84% are achievable, (2) peroneal bypass is associated with a lower rate for graft patency but not limb salvage, and (3) popliteal bypass has the best graft patency and limb salvage rates.

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