J.Jpn. Surg. Soc.. 80(11): 1125-1129, 1979

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Report on the annual meeting

SURGERY OF ARTERIOSCLEROSIS OBLITERANS WITH A SPECIAL REFERENCE TO FEMORAL ARTERY REVASCULARIZATION

One hundred and sixty-four patients with chronic arteriosclerosis obliterans of the extremities have been encountered at our department during the last 17 years. Reconstructive surgery was able to perform to 134 among 202 legs in 157 patients. Total numbers of reconstructive surgery were summed up to 141 operations, 74 aortoiliac reconstructions and 67 femoro-popliteo-tibial reconstructions, including 19 reoperations.
Reversed saphenous vein bypass operation was applied in most patients with femoro-popliteotibial lessions. The results are favorable, showing 88% early patency and 73% late patency. Various prosthetic grafts were also applied to the cases with an unsuitable saphenous vein, but the results of below-knee bypass operation with prosthesis were not so favorable. The authors prefer composite grafting as an alternative procedure at the present time. Further development of an ideal prosthesis should be mandatory in order to achieve good results in small artery reconstruction.

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