Murat Kayabah, Metin Özgür, Fatih Ata Genç, Şükrü Dilege, Göksel Kalaycı, Selçuk Baktıroğlu, Mehmet Kurdoğlu.
Abstract
23 patients with clinical stage III and IV arterial occlusive disease have undergone distal bypass proced=. for limb salvage. Doppler mapping or peroperative angiography was performed in all cases whom we could not have de¬tailed information about crural arteries with aortoperipheric angiography. Insitu saphaneous vein with aortoperipheric angiopraphie. Insitu sapheneous vein bypass technic was performed in all possible cases. Preoperative mean ABI as 0.26±0.12 (0-0.42). Postoperative mean value for ABI found 0.79±0.11 (0.46-1.20). 6 patients has undergone amputa¬tion because of occulusion of the bypass in the early period. We found 16 months patency rate as 60 % and limb salvage rate 80 % in ten patients whom we followed up. We found tibial and peroneal artery bypass procedures effective for limb salvage.
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