@entity6 critical XXXX of lower limbs: distal arterial revascularisation.

@entity1 @entity6 @entity63 @entity2316 @entity1066 @entity7838
OBJECTIVES: To evaluate the outcomes of ischemic @entity2316 for which distal arterial bypass grafting was considered as the first-line vascular procedure. @entity1 AND METHODS: Between November 2004 and November 2006, 19 lower limbs of 17 @entity6 @entity1 with lower limb critical @entity63 were operated in our department. The bypass grafts included five femoro-popliteal bypass grafts below knee and 14 distal bypass grafts. The 14 distal bypass grafts included; seven venous grafts on the dorsalis pedis artery, four femorotibial PTFE grafts and three femoroperoneal grafts. @entity7838 was applied to the distal anastomosis site in three limbs. RESULTS: At the time of discharge, the graft patency rate was 93.75%. The mean follow up period was 24 months. The primary cumulative patency rate was 63% at 2 year. The corresponding secondary patency rate was 87%. Among six ischemic @entity1066 , four @entity1066 healed within 2 to 12 months (66.6%). At 24 months, the cumulative rate of limb salvage was 76% and that of survival was 74%. CONCLUSION: Distal arterial bypass in @entity6 improves blood circulation that accelerates foot @entity1066 . It can also avoid amputation or lower its level, and thus improving the @entity1 's quality of life.
