Popliteal-to-distal artery bypass for diabetic limb salvage

A. E. Brannigan, K. Ahmad, M. Tubassum, M. Clarke Moloney, P. A. Grace, P. E. Burke

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Poor long-term survival and significant co-morbidity among diabetic patients with limb ischaemia makes the shortest, simplest revascularisation procedure desirable. Aim: Evaluate limb salvage, primary graft patency and peri-operative morbidity rates in diabetic patients undergoing popliteal-to-distal artery bypass for limb salvage. Methods: Patients undergoing popliteal- to-distal artery bypass for critical limb ischaemia over a seven-year period were retrospectively identified. Patients operative and follow-up data were entered into a database and limb salvage and patient survival determined using Kaplan Meier survival analysis. Results: During the study period 21 popliteal- to-distal artery bypasses were performed on 19 diabetic patients. Mortality rate after one year was 11%. Primary graft patency rates among surviving patients was 81%, 67% and 48% at 1, 2 and 6 years respectively. Amputation was required in three patients. Conclusion: Popliteal-to-distal artery bypass produces favourable results in high-risk diabetic patients with critical limb ischaemia.

Original languageEnglish
Pages (from-to)28-31
Number of pages4
JournalIrish Journal of Medical Science
Volume175
Issue number2
DOIs
Publication statusPublished - 2006
Externally publishedYes

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