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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
    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.
    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
    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.
    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
    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.
    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.
      This paper is only available as a PDF. To read, Please Download here.
      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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      References

        • Haimovici H
        Patterns of arteriosclerotic lesions of the lower extremity.
        Arch Surg. 1967; 95: 918-933
        • Dardik H
        • Ibrahim IM
        • Dardik II
        The role of the peroneal artery for limb salvage.
        Ann Surg. 1979; 189: 89-98
        • Karmody AM
        • Leather RP
        • Shah DM
        • et al.
        Peroneal artery bypass: a reappraisal of its value in limb salvage.
        J Vasc Surg. 1984; 1: 809-816
        • Leather RP
        • Shah DJ
        • Chang B
        • et al.
        Resurrection of the in situ saphenous vein bypass 1000 cases later.
        Ann Surg. 1988; 208: 435-442
        • Kahn SP
        • Lindenauer SM
        • Dent TL
        • et al.
        Femorotibial vein bypass.
        Arch Surg. 1973; 107: 309-312
        • Imparato AM
        • Kim GE
        • Madayag M
        • et al.
        Angiographic criteria for successful tibial arterial reconstructions.
        Surgery. 1973; 6: 830-838
        • Reichle FA
        • Tyson RR
        Femoroperoneal bypass. Evaluation of potential for revascularization of the severely ischemic lower extremity.
        Ann Surg. 1972; 181: 182-185
        • O'Mara GS
        • Flinn WR
        • Neiman HL
        • et al.
        Correlation of foot arterial anatomy with early tibial bypass patency.
        Surgery. 1981; 89: 743-752
        • Corson JD
        • Karmody AM
        • Shah DM
        • et al.
        In situ vein bypasses to distal tibial and limited outflow tracts for limb salvage.
        Surgery. 1984; 96: 756-763
        • Ricco J
        • Flinn WR
        • McDaniel MD
        • et al.
        Objective analysis of factors contributing to failure of tibial bypass grafts.
        World J Surg. 1983; 7: 347-352
        • Taylor LM
        • Edwards JM
        • Phinney ES
        • et al.
        Reversed vein bypass to infrapopliteal arteries.
        Ann Surg. 1987; 205: 90-97
        • Peterkin GA
        • Manabe S
        • LaMorte WW
        • et al.
        Evaluation of a proposed standard reporting system for preoperative angiograms in infrainguinal bypass procedures: angiographic correlates ofmeasured runoff resistance.
        J Vasc Surg. 1988; 7: 379-385
        • Ascer E
        • Veith FJ
        • Morin L
        • et al.
        Components of outflow resistance and their correlation with graft patency in lower extremity arterial reconstructions.
        J Vasc Surg. 1984; 1: 817-828
        • Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery/North American Chapter, International Society for Cardiovascular Surgery
        Suggested standards for reports dealing with lower extremity ischemia.
        J Vasc Surg. 1986; 4: 80-94
        • Ascer E
        • Veith FJ
        • White-Flores SA
        • et al.
        Intraoperative outflow resistance as a predictor of late patency of femoropopliteal and infrapopliteal arterial bypasses.
        J Vasc Surg. 1987; 5: 820-827
        • Peterkin GA
        • LaMorte WW
        • Menzoian JO
        Runoff resistance and early graft failure in infrainguinal bypass surgery.
        Arch Surg. 1988; 123: 1199-1201
        • Cambria RP
        • Abbott WM
        Translocated autogenous vein grafts.
        in: Rutherford RB Vascular surgery. 3rd ed. WB Saunders, Philadelphia1989
        • Bush HL
        • Graber JN
        • Jakubowski JA
        • et al.
        Favorable balance of prostacyclin and thromboxane A2 improves early patency of human in situ vein grafts.
        J Vasc Surg. 1984; 1: 149-159
        • Karacogil S
        • Almgren B
        • Bergstrom R
        • et al.
        Postoperative predictive value of a new method of intraoperative angiographic assessment of runoff in femoropopliteal bypass grafting.
        J Vasc Surg. 1989; 10: 400-407
        • Kozak BE
        • Bedell JE
        • Rosch J
        Small vassel leg angiography for distal vessel bypass grafts.
        J Vasc Surg. 1988; 8: 711-715
        • Edwards JM
        • Taylor LM
        • Porter JM
        Limb salvage in endstage renal disease.
        Arch Surg. 1988; 123: 1164-1168
        • Alrich EM
        • Carter JP
        • Lehman EP
        The effect of ACTH and cortisone on wound healing.
        Ann Surg. 1951; 133: 783-789
        • Gottschalk FA
        • Fisher DF
        Complications of amputations.
        in: Rutherford RB Vascular surgery. 3rd ed. WB Saunders, Philadelphia1989: 1713-1724