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Research Article| Volume 164, ISSUE 3, P276-280, September 1992

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Are there angiographic predictors of success for vein bypass to the peroneal artery?

  • Author Footnotes
    1 From the Vascular Surgery Section, Department of Surgery, The University of Iowa School of Medicine, Iowa City, Iowa.
    Alan Y. Synn
    Correspondence
    Requests for reprints should be addressed to Alan Y. Synn, MD, Department of Surgery, 1509 JCP, The University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242.
    Footnotes
    1 From the Vascular Surgery Section, Department of Surgery, The University of Iowa School of Medicine, Iowa City, Iowa.
    Affiliations
    Iowa City, Iowa, USA
    Search for articles by this author
  • Author Footnotes
    1 From the Vascular Surgery Section, Department of Surgery, The University of Iowa School of Medicine, Iowa City, Iowa.
    Jamal J. Hoballah
    Footnotes
    1 From the Vascular Surgery Section, Department of Surgery, The University of Iowa School of Medicine, Iowa City, Iowa.
    Affiliations
    Iowa City, Iowa, USA
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  • Author Footnotes
    1 From the Vascular Surgery Section, Department of Surgery, The University of Iowa School of Medicine, Iowa City, Iowa.
    William J. Sharp
    Footnotes
    1 From the Vascular Surgery Section, Department of Surgery, The University of Iowa School of Medicine, Iowa City, Iowa.
    Affiliations
    Iowa City, Iowa, USA
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  • Author Footnotes
    1 From the Vascular Surgery Section, Department of Surgery, The University of Iowa School of Medicine, Iowa City, Iowa.
    Timothy F. Kresowik
    Footnotes
    1 From the Vascular Surgery Section, Department of Surgery, The University of Iowa School of Medicine, Iowa City, Iowa.
    Affiliations
    Iowa City, Iowa, USA
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  • Author Footnotes
    1 From the Vascular Surgery Section, Department of Surgery, The University of Iowa School of Medicine, Iowa City, Iowa.
    John D. Corson
    Footnotes
    1 From the Vascular Surgery Section, Department of Surgery, The University of Iowa School of Medicine, Iowa City, Iowa.
    Affiliations
    Iowa City, Iowa, USA
    Search for articles by this author
  • Author Footnotes
    1 From the Vascular Surgery Section, Department of Surgery, The University of Iowa School of Medicine, Iowa City, Iowa.
DOI:https://doi.org/10.1016/S0002-9610(05)81085-2
Are there angiographic predictors of success for vein bypass to the peroneal artery?
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      In order to evaluate the effect of angiographic runoff upon peroneal artery autogenous vein bypass patency and subsequent limb salvage, 53 autogenous vein peroneal artery bypasses performed for ischemic tissue loss were reviewed. All preoperative angiograms were evaluated according to three separate angiographic scoring systems that previously had been designed to quantify the severity of runoff resistance. None of the three scoring systems predicted either early bypass occlusion and/or major amputation. The cumulative 18-month primary patency and 24-month secondary patency rates were 71% and 90%, respectively. The 24-month limb salvage rate was 81%. Initial and intermediateterm salvage of limbs with ischemic tissue loss can be achieved by peroneal artery bypass. Angiographic scoring systems were poor predictors of bypass failure or major amputation.
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      Article info

      Footnotes

      **Presented at the 20th Annual Meeting of the Society for ClinicalVascular Surgery, Orlando, Florida, March 25–29, 1992.

      Identification

      DOI: https://doi.org/10.1016/S0002-9610(05)81085-2

      Copyright

      © 1992 Reed Publishing USA. Published by Elsevier Inc.

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