Dorsalis pedis bypass is durable with a high likelihood of ischemic foot salvage over many years. Saphenous vein is the preferred conduit when available. Short vein grafts from distal inflow sites are possible in more than 50% of cases. These results justify the routine use of pedal arterial reconstruction for patients with diabetes with ischemic foot complications.

Objectives: Readmission is associated with high mortality, morbidity, and cost. We used the NSQIP to determine predictors of 30-day readmission rates Methods: We identified all patients who received lower extremity (LE) bypass in the 2011 ACS-NSQIP database. Multivariable logistic regression was used to assess independent predictors of 30-day readmission. Results: Among 5018 patients undergoing LE bypass, readmission rate was 16.6%. In those readmitted, the most common complications included wound infections (33%), sepsis (5.7%), graft failure (5.1%), and MI (2.6%). Out of 2204 patients (44%) with complications, 87% had pre-discharge complications and 25% had postdischarge complications. Thirty-day mortality was 129 (2.6%), with 42 (33%) occurring postdischarge. Multivariable predictors of readmission were dependent functional status (