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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
Copyright
© 1992 Reed Publishing USA. Published by Elsevier Inc.
