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Patent Femoro-Popliteal Bypass Graft with Inflow Occlusion: Report of Three Cases

Department of Surgery, St. Louis University Medical Center, St. Louis, Missouri

Michael A. Smith, M.D.

Department of Surgery, St. Louis University Medical Center, St. Louis, Missouri

Three cases of late femoro-popliteal bypass graft failure have been reviewed. Each case presented with symptoms of limb-threatening ischemia and had an kle-arm indices of 0.12-0.30. In each instance, aortography revealed inflow oc clusion proximal to the graft, a well-developed collateral circulation, and patent grafts . Each of these cases was managed by extra-anatomic bypass . Etiologies of early, intermediate, and late bypass failure are discussed. With the growing popularity of the "in situ" technique of femoro-popliteal bypass, this observa tion may be made more frequently. These cases emphasize the benefit of regular followup, even in the long-term patency group. The durability of vein grafts is likewise noteworthy.

Vascular and Endovascular Surgery, Vol. 19, No. 4, 264-269 (1985)
DOI: 10.1177/153857448501900412


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