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Vascular and Endovascular Surgery
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Evaluation of Some Prognostic Indicators in Venous Grafting to Below-The-Knee Arteries

Antonino Cavallaro

Department of Surgery, School of Medicine, University of Rome "La Sapienza", Roma, Italy

Vincenzo Sciacca

Department of Surgery, School of Medicine, University of Rome "La Sapienza", Roma, Italy

Antonio Sterpetti

Department of Surgery, School of Medicine, University of Rome "La Sapienza", Roma, Italy

Sergio Stipa

Department of Surgery, School of Medicine, University of Rome "La Sapienza", Roma, Italy

45 femoro-popliteal and 30 femoro-tibial by-passes performed by means of autologous reversed saphenous vein were reviewed in order to evaluate the pro gnostic significance (one-year patency) of preoperative ankle pressure index and of angiographic findings.

The intraoperative (pre-reconstruction) arteriography appeared as a very useful tool necessary to achieve, in most cases, definite informations about the outflow of the planned reconstruction.

The direct connection with pedal arteries (in femoro-popliteal procedures) and the unrestricted outflow through a pedal arch (in femoro-tibial procedures) were, in the Authors' experience, the best indicators, fully reliable, of a fa vourable prognosis.

Vascular and Endovascular Surgery, Vol. 19, No. 1, 39-46 (1985)
DOI: 10.1177/153857448501900106


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