Limb salvage after infrainguinal bypass graft failure

Abstract

The overall prognosis for limb salvage in patients with failed infrainguinal bypass grafts is poor, particularly in patients with grafts placed because of tissue loss and those with early graft failure.

ACC/AHA 2005 Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic): Executive Summary A Collaborative Report From the American Association for Vascular Surgery/Society for Vascular Surgery,⁎⁎AAVS/SVS when Guideline initiated, now merged into SVSSociety for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guideline

“…(119,120). Bypasses to the tibial arteries with prosthetic material should be avoided at all costs for the treatment of the claudicant because of very high risks of graft failure and amputation.FOLLOW-UP AFTER VASCULAR SURGICAL PROCEDURES.…”

Single-Center Experience in Endovascular Treatment for Infrainguinal Bypass Obstructions

“…As occlusion of infrainguinal bypass grafts is associated with impaired limb salvage (25), repeated revascularization may be important to grant clinical success. Therefore, routine clinical and sonographic surveillance remain necessary to prevent graft occlusion (5).…”

Successful infrainguinal revascularization with autologous vein for inadvertent stripping of superficial femoral artery: a case report

“…It has been reported that the long-term patency rate for a single-segment autologous vein ranges from 23% to 85% compared with that for prosthetic grafts from 11% to 39% [11]. Autologous venous grafts, such as that of the great saphenous vein, are preferred as ideal substitutes for arterial reconstruction because of the greater biocompatibility, long-term patency and lesser number of complications [12][13][14][15].…”