Peroneal artery bypass: a multifactorial analysis.

Published

Journal Article

Sixty-two bypass grafts to the peroneal artery were performed at the University of Rochester Medical Center between 1984 and 1990. An autogenous conduit was used in 45 patients and a prosthetic conduit in 17 patients. Primary cumulative patency rates were 49% at two years and 30% at four years following operation. Limb salvage was achieved in 68% of patients. The two year cumulative patency rate was significantly better when the peroneal artery was of good quality arteriographically compared with those in which stenoses were present (75% versus 25%, p less than 0.05); in patients without inflow disease compared with patients with inflow disease (56% versus 11%, p less than 0.05); and in saphenous vein grafts compared with prosthetic grafts (55% versus 17%, p less than 0.05). The factors that did not influence patency were the presence of a direct peroneal collateral vessel filling a pedal vessel, age, sex, diabetes, and the size of the peroneal artery. The results of peroneal artery bypass in end-stage patients are dependent on the presence of adequate autogenous vein and a recipient peroneal vessel free of disease. Under these circumstances, the results of the procedure approach that of standard femorotibial reconstruction.

Full Text

Duke Authors

Cited Authors

  • Shortell, CK; Ouriel, K; DeWeese, JA; Green, RM

Published Date

  • January 1, 1992

Published In

Volume / Issue

  • 6 / 1

Start / End Page

  • 15 - 19

PubMed ID

  • 1547070

Pubmed Central ID

  • 1547070

Electronic International Standard Serial Number (EISSN)

  • 1615-5947

International Standard Serial Number (ISSN)

  • 0890-5096

Digital Object Identifier (DOI)

  • 10.1007/bf02000661

Language

  • eng