EXPERINCE OF FEMOROTIBIAL OF PERONEAL BYPASSES USING SAPHENOUS VEIN GRAFTS

Abstract

Fourteen cases (17 distal anastomotic sites) of femortibial or peroneal bypasses experienced at the hospital for recent 8 years were studied. There were 11 cases of ASO and 3 cases of TAO. Anastomosed sites included the anterior tibial artery (3), posterior tibial artery (11), and peroneal artery (3 sites). Excepting the first case, nonreversed saphenous vein graft was used, in situ as a rule. The valves were treated with ACP valve cutter. Postoperative continuous intraarterial injection of prostaglandin E1, urokinase, and heparin sodium was given for cases with poor distal run-off or with early obstruction of grafts. Five cases of early obstruction of grafts happened, but after thrombectomy and continuous intraarterial injection only one case was obstructed in the late stage. Three cases of late obstruction including the former case occurred, but there was no late obstruction in cases of TAO and of femoroperoneal bypass. We used continuous intraarterial injection immediately after the first operation for recent 4 continuous cases, and no early obstruction was noted.