J.Jpn. Surg. Soc.. 79(8): 671-676, 1978
Report on the annual meeting
DISTAL ARTERIAL BYPASS IN BUERGER'S DISEASE
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*) From the 2nd Department of Surgery, The University of Tokyo Yuji Maruyama, M.D.*), Yusuke Tada, M.D.*), Kihachiro Kamiya, M.D.*), Atsuhiko Takagi, M.D.*), Akira Ueno, M.D.**), Soichi Umezu, M.D.***), Yoshikura Haraguchi, M.D.***), Toshishige Wakabayashi, M.D.***) |
Accurate distal lower extremity arteriograms are prerequisite for tibial reconstruction. Single artery patency at the ankle was demonstrated in 9 patients. A single tibial or peroneal vessel patent distally can provide adequate run-off.
Although the tibial-peroneal trunk is the preferred site for the distal anastomosis, severe occlusive disease often makes a more distal arterial branch the appropriate point for bypass. Proximal anastomoses were made to the superficial femoral artery (10), and distal ones to the posterior tibial (12), anterior tibial (1), and peroneal artery (1). Three distal anastomoses were made at the ankle.
Operative mortality was nil. Early patency was obtained in 10 of 14 grafts. Two patients with occlusion required amuputation. There were 2 late occlusion with no further amuputation. Graft patency at two years was 52%. Graft patent for more than two years functioned steadily.
Key Words : Buerger's disease, Tibial Bypass, Distal Bypass.
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