ARTERIAL RECONSTRUCTION IN THE LOWER-EXTREMITY BY MEANS OF MULTIPLE DISTAL ANASTOMOSES FOR LIMB SALVAGE

被引：2

作者：

ALEMANY, J

机构：

[1] Department of Vascular Surgery, Knappschafts-Krankenhaus Osterfelderstrasse

来源：

VASCULAR SURGERY | 1992年 / 26卷 / 05期

关键词：

D O I：

10.1177/153857449202600501

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Long femoropopliteal occlusions also involving the trifurcation are circumvented by means of femorodistal bypasses. Despite good function of the bypass, the result is occasionally disappointing in cases in which necroses on foot or lower leg have not regressed and have finally led to amputation. To optimize the perfusion of the lower leg, the author performed, between 1980 and 1990, a multilevel or multiple bypass on the lower limbs in 92 cases. By creation of several anastomoses in the lower leg and popliteal arteries, he attained a better perfusion in the lower limb. His results show that multilevel reconstruction or bypass with multiple distal anastomoses in case of "limb salvage" achieves a statistically significant reduction of amputations.

引用

页码：337 / 344

页数：8

共 7 条

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