Ankle bypass: Should we go the distance?

Dale Buchbinder*, Allan R. Pasch, Michael J. Verta, David L. Rollins, Timothy J. Ryan, James J. Schuler, D. Preston Flanigan

*Corresponding author for this work

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

This report reviewed the results of 47 distal arterial reconstructions to or below the level of the malleolus. The operations were performed by the techniques of popliteal-to-distal bypass (20 procedures) and in situ bypass (27 procedures). Seventy-five percent of patients had gangrene of ischemic ulceration, and all procedures were performed for limb salvage. Seventy-three percent of all patients were diabetic. The patency rates for popliteal-to-distal bypass with reversed saphenous vein were 92 percent at 24 months and 57 percent at 60 months, with a limb salvage rate of 70 percent at 60 months; the patency rates for popliteal-to-distal bypass with PTFE were 53 percent at 12 months and 0 at 36 months, with a limb salvage rate of 53 percent at 36 months; and the patency rate for in situ saphenous vein bypass was 96 percent at 24 months, with a limb salvage rate of 80 percent at 24 months. Early results are promising for ankle bypass using the techniques of poplitealto-distal and in situ bypass.

Original languageEnglish (US)
Pages (from-to)216-219
Number of pages4
JournalThe American Journal of Surgery
Volume150
Issue number2
DOIs
StatePublished - Aug 1985

ASJC Scopus subject areas

  • Surgery

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    Buchbinder, D., Pasch, A. R., Verta, M. J., Rollins, D. L., Ryan, T. J., Schuler, J. J., & Flanigan, D. P. (1985). Ankle bypass: Should we go the distance? The American Journal of Surgery, 150(2), 216-219. https://doi.org/10.1016/0002-9610(85)90123-0